| Clanford Lyonel Johnson, MD | |
|
1305 S Suber Rd, Greer, SC 29650-0944 | |
| (864) 989-4609 | |
| Not Available |
| Full Name | Clanford Lyonel Johnson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1305 S Suber Rd, Greer, South 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 |
|---|---|---|---|
| 1750342879 | NPI | - | NPPES |
| 5904663 | Medicaid | NC | |
| P00329935 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200400688 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 25112 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Physician Services, Inc | 4284782210 | 335 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
| Entity Name | Moses Cone Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20040128000519 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956780 PECOS PAC ID: 5698688141 Enrollment ID: O20040715001368 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Clanford Lyonel Johnson, MD 1 Independence Pt, Suite 212, Greenville, SC 29615-4545 Ph: (864) 797-6044 | Clanford Lyonel Johnson, MD 1305 S Suber Rd, Greer, SC 29650-0944 Ph: (864) 989-4609 |
Neha Chowdhary, M.D, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Medical Pkwy Ste 100, Greer, SC 29650 Phone: 864-454-7422 Fax: 864-797-9701 | |
Kimberly Brooke Bishop, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 830 S Buncombe Rd, Greer, SC 29650 Phone: 864-797-8500 | |
Jessica Nix Coplin, Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Physicians Dr, Greer, SC 29650 Phone: 864-797-9150 | |
Braden Bennett, Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Physicians Dr, Greer, SC 29650 Phone: 864-797-9150 | |
Amanda Michele Fernandez, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Physicians Dr Ste A, Greer, SC 29650 Phone: 864-797-9150 Fax: 864-797-9155 | |
Dr. Gil-young Chae, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10 Cork Dr, Greer, SC 29650 Phone: 864-561-3213 | |
Julia Clark, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Physicians Dr Ste A, Greer, SC 29650 Phone: 864-797-9150 Fax: 864-797-9155 |