| English Wilson Johnson, CRNP | |
|
30 Racquet Club Pkwy, Pelham, AL 35124-6185 | |
| (205) 971-1620 | |
| (205) 971-1601 |
| Full Name | English Wilson Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 30 Racquet Club Pkwy, Pelham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497415301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | GAA-NP000569 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-133739 (Alabama) | Primary |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Mailing Address | Practice Location Address |
|---|---|
| English Wilson Johnson, CRNP 5254 Lakeside Ter, Trussville, AL 35173-3825 Ph: (205) 478-0300 | English Wilson Johnson, CRNP 30 Racquet Club Pkwy, Pelham, AL 35124-6185 Ph: (205) 971-1620 |
Mrs. Stacy Eddleman Stuart, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Business Cir, Pelham, AL 35124 Phone: 205-255-3828 Fax: 334-625-7602 | |
Alaina Shelton Contestabile, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 County Services Dr, Pelham, AL 35124 Phone: 205-663-1252 Fax: 205-663-3175 | |
Mrs. Laura Ducote, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2970 Pelham Pkwy, Pelham, AL 35124 Phone: 205-621-6411 | |
Mr. Matthew Corey Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124 Phone: 205-621-3778 Fax: 205-621-4835 | |
Haley Jost, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Cahaba Valley Pkwy, Suite 200, Pelham, AL 35124 Phone: 205-733-1130 Fax: 205-560-0451 | |
Sidney Lankford Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Wild Timber Pkwy, Pelham, AL 35124 Phone: 205-586-2011 | |
Kimberly Renee' Walton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Business Cir, Pelham, AL 35124 Phone: 205-255-3828 |