| Dr Evelyn J Johnson, MD | |
|
408 S Main St Ste C, Baxley, GA 31513-0185 | |
| (912) 705-1227 | |
| (912) 705-0673 |
| Full Name | Dr Evelyn J Johnson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 408 S Main St Ste C, Baxley, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780645788 | NPI | - | NPPES |
| 590705328A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056182 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Appling Hospital | Baxley, GA | Hospital |
| Appling Nursing And Rehabilitation Pavilion | Baxley, GA | Nursing home |
| Entity Name | The Baxley And Appling County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518967116 PECOS PAC ID: 8426957325 Enrollment ID: O20040108000489 |
| Entity Name | Medical Wellness Center Of Georgia, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972003879 PECOS PAC ID: 9234480781 Enrollment ID: O20180921000679 |
| Entity Name | Family Medicine Of Baxley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295240059 PECOS PAC ID: 3971840356 Enrollment ID: O20190123001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evelyn J Johnson, MD 408 S Main St Ste C, Baxley, GA 31513-0185 Ph: (912) 705-1227 | Dr Evelyn J Johnson, MD 408 S Main St Ste C, Baxley, GA 31513-0185 Ph: (912) 705-1227 |
Kevin O. Keown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Azalea Rd Ste 1, Baxley, GA 31513 Phone: 912-294-0380 Fax: 912-427-0591 | |
Dr. Leonard F Howard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Tollison St, Baxley, GA 31513 Phone: 912-367-9841 | |
Tonya Fowler Fordham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Luckie St, Ste F, Baxley, GA 31513 Phone: 912-366-1362 Fax: 912-366-1365 |