| Dr Keith Russell Johnson, MD | |
|
777 Hemlock St, Macon, GA 31201-2102 | |
| (478) 331-1000 | |
| Not Available |
| Full Name | Dr Keith Russell Johnson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 777 Hemlock St, Macon, Georgia |
| 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 |
|---|---|---|---|
| 1851308639 | NPI | - | NPPES |
| 882501185G | Medicaid | GA | |
| 882501185I | Medicaid | GA | |
| 882501185E | Medicaid | GA | |
| 882501185J | Medicaid | GA | |
| 882501185C | Medicaid | GA | |
| P00352150 | Other | GA | RR MEDICARE |
| 882501185H | Medicaid | GA | |
| 2500082985 | Other | GA | CHAMPUS INDIVIDUAL |
| 882501185F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 53765 (Georgia) | Primary |
| 207L00000X | Anesthesiology | 29538 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Lake City Medical Center | Lake city, FL | Hospital |
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Southeast Llc | 3870880792 | 69 |
| Hospitalist Medicine Physicians Of Georgia - Tcs, Pc | 3971024910 | 75 |
| Se Georgia Anesthesia, Llc | 8426466137 | 106 |
| Anesthesia Medicine Services Of Fl Llc | 9537524343 | 139 |
| Entity Name | Coffee Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
| Entity Name | Capitol Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Se Georgia Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
| Entity Name | Fortis Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
| Entity Name | Hospitalist Medicine Physicians Of Georgia - Tcs, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033926191 PECOS PAC ID: 3971024910 Enrollment ID: O20250306003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Russell Johnson, MD Po Box 18824, Greensboro, NC 27419-8824 Ph: (336) 553-1659 | Dr Keith Russell Johnson, MD 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 331-1000 |
Dr. Mauro Faibicher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Keith N Phillippi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Dr. David M Kalish Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Dorene Jeanine Hinton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-750-8606 | |
Hubert R Buxton Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Manojna P Sanjeev, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Drive, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Boris Pechenik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1000 |