| Dr Samuel Andrew Johnson, MD | |
|
55 Whitcher St Ne, Suite 460, Marietta, GA 30060-1155 | |
| (770) 427-7389 | |
| (770) 427-1492 |
| Full Name | Dr Samuel Andrew Johnson |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 23 Years |
| Location | 55 Whitcher St Ne, Marietta, 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 |
|---|---|---|---|
| 1225255128 | NPI | - | NPPES |
| 003123548D | Medicaid | GA | |
| 003123548G | Medicaid | GA | |
| 003123548J | Medicaid | GA | |
| 003123548F | Medicaid | GA | |
| 003123548H | Medicaid | GA | |
| 003123548I | Medicaid | GA | |
| 003123548U | Medicaid | GA | |
| 003123548V | Medicaid | GA | |
| 54909 | Other | GA | MD |
| 003123548E | Medicaid | GA | |
| 003123548O | Medicaid | GA | |
| 003123548P | Medicaid | GA | |
| 003123548K | Medicaid | GA | |
| 003123548M | Medicaid | GA | |
| 003123548B | Medicaid | GA | |
| 003123548C | Medicaid | GA | |
| 003123548S | Medicaid | GA | |
| 003123548L | Medicaid | GA | |
| 003123548R | Medicaid | GA | |
| 003123548T | Medicaid | GA | |
| 29879 | Other | SC | MEDICAL LICENSE |
| 003123548N | Medicaid | GA | |
| 003123548Q | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 54909 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Northern Georgia Inc | Canton, GA | Dialysis facility |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Preferred Vascular Services Southwest | 0446502918 | 7 |
| Preferred Vascular Services Northwest Llc | 1850552142 | 7 |
| Georgia Kidney Associates, Inc. | 1951399799 | 16 |
| Entity Name | Georgia Kidney Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932183654 PECOS PAC ID: 1951399799 Enrollment ID: O20040503000302 |
| Entity Name | Preferred Vascular Services Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013 |
| Entity Name | Preferred Vascular Services Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280 |
| Entity Name | Preferred Vascular Services Southwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790285229 PECOS PAC ID: 0446502918 Enrollment ID: O20181010003246 |
| Entity Name | Preferred Vascular Services Macon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906 |
| Entity Name | Preferred Vascular Services Northeast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Andrew Johnson, MD 55 Whitcher Street, Suite 460, Marietta, GA 30060-1155 Ph: (770) 427-7389 | Dr Samuel Andrew Johnson, MD 55 Whitcher St Ne, Suite 460, Marietta, GA 30060-1155 Ph: (770) 427-7389 |
Anu Kurl, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 400 Tower Rd Ne Ste 160, Marietta, GA 30060 Phone: 770-420-1690 Fax: 770-420-1661 | |
Dr. Saba Amajd Munir, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 460, Marietta, GA 30060 Phone: 770-427-7389 | |
Dr. Sharon M Odell, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Helga Annalina Bahr, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 580 Atlanta Country Club Drive, Marietta, GA 30068 Phone: 770-988-8554 | |
Dr. Kaynessa Celena Providence, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Ryan V Cantwell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060 Phone: 770-427-2457 Fax: 770-427-2706 | |
Dr. Joanne Zhiwen Zhu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne # 111, Marietta, GA 30060 Phone: 770-793-7750 |