Georgette R Johnson, is a
In Home Supportive Care based in Mauldin, South Carolina. Georgette R Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
120 Renaissance Cir Ste 1, Mauldin, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 907-7627.
NPI number for Georgette R Johnson is 1184488355 and her current mailing address is 401 Revis Creek Ct, Simpsonville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184488355.
Provider's Profile
| Full Name | Georgette R Johnson |
|---|
| Gender | Female |
|---|
| Speciality | In Home Supportive Care |
|---|
| Location | 120 Renaissance Cir Ste 1, Mauldin, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184488355
- Provider Enumeration Date: 02/08/2024
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Georgette R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184488355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 205384 (South Carolina) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Georgette R Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Georgette R Johnson,
401 Revis Creek Ct,
Simpsonville, SC 29681-6339
Ph: (864) 907-7627 | Georgette R Johnson,
120 Renaissance Cir Ste 1,
Mauldin, SC 29662-2459
Ph: (864) 907-7627 |
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