Jillian Glaude Johnson, | |
132 Franklin Springs St, Royston, GA 30662-4134 | |
(706) 621-7575 | |
(706) 621-7557 |
Full Name | Jillian Glaude Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 132 Franklin Springs St, Royston, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447739230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN239533 (Georgia) | Primary |
Entity Name | Reddy Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427184654 PECOS PAC ID: 3274554456 Enrollment ID: O20051215000364 |
Entity Name | Reddy Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922356179 PECOS PAC ID: 5890932966 Enrollment ID: O20130508000573 |
Mailing Address | Practice Location Address |
---|---|
Jillian Glaude Johnson, 1061 Dowdy Rd Ste 101, Athens, GA 30606-5700 Ph: (706) 621-7575 | Jillian Glaude Johnson, 132 Franklin Springs St, Royston, GA 30662-4134 Ph: (706) 621-7575 |
Mr. Shawn Thurston, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 Franklin Springs St, Royston, GA 30662 Phone: 706-621-7555 | |
Stacy Reel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Kristen Harris Turner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 819 Church St, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Laurie Martin-kiser, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 819 Church Street, Royston, GA 30662 Phone: 706-245-6177 Fax: 706-245-6242 | |
Gina Marie Looney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Franklin Springs St Ste A, Royston, GA 30662 Phone: 706-245-5050 Fax: 706-245-4342 | |
Jordan Tiller, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Franklin Springs St, Royston, GA 30662 Phone: 706-245-5050 |