| Donya Boatwright-johnson, | |
|
996 Spanish Moss Trl, Loganville, GA 30052-6763 | |
| (470) 306-1325 | |
| Not Available |
| Full Name | Donya Boatwright-johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 996 Spanish Moss Trl, Loganville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124862065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11033523 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stedfast Medical Services Llc | 4981000999 | 36 |
| Entity Name | Stedfast Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508438284 PECOS PAC ID: 4981000999 Enrollment ID: O20210831000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Donya Boatwright-johnson, 996 Spanish Moss Trl, Loganville, GA 30052-6763 Ph: (470) 306-1325 | Donya Boatwright-johnson, 996 Spanish Moss Trl, Loganville, GA 30052-6763 Ph: (470) 306-1325 |
Gopika Naidu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Lee Byrd Road, Loganville, GA 30052 Phone: 770-466-5902 | |
Jennifer Davis, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 770-466-6112 | |
Lori G Roberts, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3815 Harrison Rd, Loganville, GA 30052 Phone: 678-527-6000 Fax: 770-466-6201 | |
Johanne Dastine-coriolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4344 Grove Lake St, Loganville, GA 30052 Phone: 770-696-1350 | |
Mrs. Kimberly Denise Pegues, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3869 Highway 81, Loganville, GA 30052 Phone: 678-635-8650 | |
Mrs. Amarachi Edom, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 Fall Creek Ldg, Loganville, GA 30052 Phone: 404-438-4634 | |
Ashley Owen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 |