| Jerry Steven Johnson, MD | |
|
116 Mimosa Dr, Thomasville, GA 31792-6605 | |
| (229) 228-2982 | |
| (229) 551-8784 |
| Full Name | Jerry Steven Johnson |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 42 Years |
| Location | 116 Mimosa Dr, Thomasville, 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 |
|---|---|---|---|
| 1053392217 | NPI | - | NPPES |
| 00364174A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 30487 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiation Oncologists South East, P.c. | 7113042177 | 2 |
| Entity Name | Radiation Oncologists South East, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124072053 PECOS PAC ID: 7113042177 Enrollment ID: O20100914000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Steven Johnson, MD 116 Mimosa Dr, Thomasville, GA 31792-6605 Ph: (229) 228-2982 | Jerry Steven Johnson, MD 116 Mimosa Dr, Thomasville, GA 31792-6605 Ph: (229) 228-2982 |
Kelley Stafford Helquist, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 714 N Dawson St, Thomasville, GA 31792 Phone: 904-252-7761 | |
Dr. Kathleen Lee Hannan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Dr. Eduardo Jose Stincer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Dr. Sharif Darwish, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 | |
Dr. David Andrew Saunders, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-228-2982 Fax: 229-551-8784 | |
Dr. Cary Carter Newman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2000 |