Malinda Johnson, PA-C, OTR is a medicare enrolled "Physician Assistant" provider in Newnan, Georgia. Her current practice location is
354 Newnan Crossing Byp Ste 200, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 460-4747.
Malinda Johnson is licensed to practice in Georgia (license number 008486) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801014329.
Healthcare Provider's Profile
| Full Name | Malinda Johnson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 354 Newnan Crossing Byp Ste 200, Newnan, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801014329
- Provider Enumeration Date: 04/22/2007
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668723974
- Enrollment ID: I20180926001513
Medical Identifiers
Medical identifiers for Malinda Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801014329 | NPI | - | NPPES |
| VVS858A | Other | VA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0110006226 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 008486 (Georgia) | 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. Malinda Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Malinda Johnson, PA-C, OTR
Po Box 370,
Fortson, GA 31808-0370
Ph: () - | Malinda Johnson, PA-C, OTR
354 Newnan Crossing Byp Ste 200,
Newnan, GA 30265-2434
Ph: (770) 460-4747 |
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