| Johnson Clinic Of Covington, Inc | |
|
4235 Highway 51 S Brighton TN 38011-6921 | |
| (901) 475-4752 | |
| (901) 475-1554 |
| Full Name | Johnson Clinic Of Covington, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4235 Highway 51 S, Brighton, Tennessee |
| Authorized Official Name and Position | Samuel T. Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9014754752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Clinic Of Covington, Inc Po Box 507 Covington TN 38019-0507 Ph: (901) 475-4752 | Johnson Clinic Of Covington, Inc 4235 Highway 51 S Brighton TN 38011-6921 Ph: (901) 475-4752 |
| NPI Number | 1376837260 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Medicare PECOS PAC ID | 0941473185 |
|---|---|
| Medicare Enrollment ID | O20111102000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376837260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD11374 (Tennessee) | Primary |
| Provider Name | Samuel T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457304131 PECOS PAC ID: 9931011640 Enrollment ID: I20031103000101 |
Dr. Jesse Cannon Jr. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7615 Highway 51 S Ste 106, Brighton, TN 38011 Phone: 901-837-7568 Fax: 901-837-7532 | |
Brighton Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 Old Hwy 51, Suite C, Brighton, TN 38011 Phone: 907-837-7979 Fax: 901-837-7999 | |
Family Practice Of Covington, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Highway 51 South, Brighton, TN 38011 Phone: 901-475-4752 Fax: 901-475-1554 | |
Atoka Idaville Family Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5847 Atoka Idaville Rd, Brighton, TN 38011 Phone: 901-304-8709 |