| Alan Charles Johnston, MD | |
| 
					1300 Braden St, Jacksonville, AR 72076-3719  | |
| (501) 985-5900 | |
| (501) 985-6016 | 
| Full Name | Alan Charles Johnston | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1300 Braden St, Jacksonville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679579650 | NPI | - | NPPES | 
| 143719001 | Medicaid | AR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | E2645 (Arkansas) | Primary | 
| Entity Name | Arkansas Central Primary Care Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396996740 PECOS PAC ID: 8729142682 Enrollment ID: O20090127000115  | 
| Entity Name | Youth Home Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942266879 PECOS PAC ID: 4789806431 Enrollment ID: O20141112001724  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alan Charles Johnston, MD Po Box 309, Jacksonville, AR 72078-0309 Ph: (501) 985-5900  | Alan Charles Johnston, MD 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 985-5900  | 
Dr. George Thompson Gray Iii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Braden St, Emergency Dept, Jacksonville, AR 72076 Phone: 501-985-7000  | |
Miriam Gwenyth Morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016  | |
Cameron Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6022  | |
Sridhar Reddy Madgula, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951  | |
Dr. John Daugherty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041  | |
Robert Ross Ritchie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016  | |
Richard Lee Hayes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016  |