Shamika Johnson, | |
1118 Ga Highway 96, Kathleen, GA 31047-2111 | |
(478) 975-6890 | |
Not Available |
Full Name | Shamika Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1118 Ga Highway 96, Kathleen, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962988048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277351 (Georgia) | Primary |
Entity Name | Houston Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
Mailing Address | Practice Location Address |
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Shamika Johnson, 1601 Watson Blvd, Warner Robins, GA 31093-3431 Ph: (478) 922-4281 | Shamika Johnson, 1118 Ga Highway 96, Kathleen, GA 31047-2111 Ph: (478) 975-6890 |
Mrs. Tyechia Lewis Hall, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 | |
Ashley Nicole Segnou, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Gibson Cir, Kathleen, GA 31047 Phone: 478-484-9521 | |
Jamie Barr, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091 | |
Ashley Chineque Jackson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Pearl Moss Ln, Kathleen, GA 31047 Phone: 478-696-2297 | |
Brittany Sanders Dickerson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1114 Ga Highway 96 Ste D3-d5, Kathleen, GA 31047 Phone: 478-910-1090 Fax: 478-910-1091 | |
Mr. Joshua Shane Young, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 659 Old Perry Rd, Kathleen, GA 31047 Phone: 478-230-5340 | |
Christy Ann Gonzalez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Ga Highway 127, Kathleen, GA 31047 Phone: 478-352-7143 Fax: 478-352-7144 |