| Dr Ryan Patrick Johnson, DO | |
|
351 S Liberty St, Waynesboro, GA 30830-9686 | |
| (706) 836-3911 | |
| Not Available |
| Full Name | Dr Ryan Patrick Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 351 S Liberty St, Waynesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063435717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 056876 (Georgia) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Southland Consolidated Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917124 PECOS PAC ID: 2860792066 Enrollment ID: O20151119001289 |
| Entity Name | Washington County Emergency Medicine Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174069959 PECOS PAC ID: 9335424233 Enrollment ID: O20170315001971 |
| Entity Name | Peach State Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053170605 PECOS PAC ID: 7719328038 Enrollment ID: O20240516002831 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Patrick Johnson, DO 2029 Bromley Ct, Augusta, GA 30909-2192 Ph: (706) 836-3911 | Dr Ryan Patrick Johnson, DO 351 S Liberty St, Waynesboro, GA 30830-9686 Ph: (706) 836-3911 |
Dr. Juan Vicens, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-4435 | |
Ross R Mccabe, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 351 S Liberty St, Waynesboro, GA 30830 Phone: 706-554-4435 |