Dr Kevin Earl Johnson, MD | |
3409 Thomasville Rd, Winston Salem, NC 27107-5438 | |
(743) 229-3300 | |
(743) 229-3324 |
Full Name | Dr Kevin Earl Johnson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 3409 Thomasville Rd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336138809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9801320 (North Carolina) | Primary |
207Q00000X | Family Medicine | 070497 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dedicated Physicians Group Of North Carolina Pllc | 9537546239 | 6 |
Entity Name | Dedicated Physicians Group Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558019455 PECOS PAC ID: 9537546239 Enrollment ID: O20220518002987 |
Mailing Address | Practice Location Address |
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Dr Kevin Earl Johnson, MD 3409 Thomasville Rd, Winston Salem, NC 27107-5438 Ph: (743) 229-3300 | Dr Kevin Earl Johnson, MD 3409 Thomasville Rd, Winston Salem, NC 27107-5438 Ph: (743) 229-3300 |
Jessica Hart St. John, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1834 Wake Forest Rd, Winston Salem, NC 27109 Phone: 336-758-5218 | |
Dr. Timothy Lee Fischer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 336-251-1114 | |
Katherine Farris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Maplewood Ave, Suite 112, Winston Salem, NC 27103 Phone: 336-768-2980 Fax: 336-765-6599 | |
Michael Lee Coates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Robert Kenneth Beam, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 336-718-0050 | |
Ricky Howard Stugart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Robinhood Medical Plz, Dba Maplewood Family Practice, Winston Salem, NC 27106 Phone: 336-718-0800 Fax: 336-718-0871 | |
Dr. Michele Denise Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7781 N Point Blvd, Winston Salem, NC 27106 Phone: 336-765-3430 Fax: 336-765-3429 |