| Carla D Johnson, PA | |
|
101 Oakland Crossing Dr, Leesburg, GA 31763-7228 | |
| (229) 888-4093 | |
| (229) 888-4098 |
| Full Name | Carla D Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 101 Oakland Crossing Dr, Leesburg, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578626412 | NPI | - | NPPES |
| 00600003C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002753 (Georgia) | Primary |
| Entity Name | Medical Associates of Albany, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952396665 PECOS PAC ID: 7719975564 Enrollment ID: O20040503000389 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla D Johnson, PA 101 Oakland Crossing Dr, Leesburg, GA 31763-7228 Ph: (229) 888-4093 | Carla D Johnson, PA 101 Oakland Crossing Dr, Leesburg, GA 31763-7228 Ph: (229) 888-4093 |
Madison Kae Andrews, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1578 Us Highway 19 S Apt 2108, Leesburg, GA 31763 Phone: 602-881-2855 |
Michael Hardy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 235 Walnut Ave S, Leesburg, GA 31763 Phone: 229-759-6508 |
Tiffany R Levins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 235 Walnut Street, Leesburg, GA 31763 Phone: 229-759-6508 Fax: 229-759-9950 |
Abdul Raqeeb Musaib Mohammed, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 Sapelo Dr, Leesburg, GA 31763 Phone: 229-343-6120 |