Mallory Harris Johnson, CRNA | |
3100 Kemble Ave, Brunswick, GA 31520-4211 | |
(334) 279-1450 | |
(334) 279-1660 |
Full Name | Mallory Harris Johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 3100 Kemble Ave, Brunswick, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801353081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN239579 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlanta Anesthesia Consultants Llc | 4486818093 | 22 |
Entity Name | Alta Anesthesia Associates Of Georgia, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222 |
Entity Name | North Fulton Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
Entity Name | Northlake Anesthesia Professionals,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031 |
Entity Name | Anesthesia Solutions Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093035677 PECOS PAC ID: 5991998965 Enrollment ID: O20101022000244 |
Entity Name | Ahs Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316214604 PECOS PAC ID: 7911169925 Enrollment ID: O20120508000359 |
Entity Name | Atlanta Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487928370 PECOS PAC ID: 4486818093 Enrollment ID: O20120612000168 |
Entity Name | Perimeter Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922402445 PECOS PAC ID: 2567763048 Enrollment ID: O20151229001858 |
Entity Name | Alpharetta Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1568840528 PECOS PAC ID: 1153620869 Enrollment ID: O20160502001999 |
Entity Name | Csp Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568946812 PECOS PAC ID: 6901147206 Enrollment ID: O20190415002910 |
Mailing Address | Practice Location Address |
---|---|
Mallory Harris Johnson, CRNA Po Box 116111, Atlanta, GA 30368-6111 Ph: (334) 279-1450 | Mallory Harris Johnson, CRNA 3100 Kemble Ave, Brunswick, GA 31520-4211 Ph: (334) 279-1450 |
Shannon Lynne Monteleone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 | |
Maxwell Donnan, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Fountain Park Cir Ste 4, Brunswick, GA 31520 Phone: 912-617-4553 Fax: 912-264-5003 | |
John D Porzio V, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703 Fax: 334-395-4110 | |
Sandra E Deschaine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703 | |
Adam Wesley Harper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 334-279-1450 | |
Heather Cone Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000 | |
Steven Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000 |