| Kacie Parrish Johnson, NP | |
|
3200 N Ashley St Ste C, Valdosta, GA 31602-5911 | |
| (229) 671-9100 | |
| (229) 671-9101 |
| Full Name | Kacie Parrish Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 3200 N Ashley St Ste C, Valdosta, 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 |
|---|---|---|---|
| 1003287533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN197323 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN197323 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Care Medical Center Llc | 6406807015 | 25 |
| Entity Name | Care Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063521250 PECOS PAC ID: 6406807015 Enrollment ID: O20050201000493 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacie Parrish Johnson, NP 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 Ph: (229) 671-9100 | Kacie Parrish Johnson, NP 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 Ph: (229) 671-9100 |
John Stephen Dodd, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4340 Fax: 259-259-4341 | |
Vicki Wetter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3120 N Oak Street Ext Ste G, Valdosta, GA 31602 Phone: 229-671-6130 Fax: 229-671-6764 | |
Lindsey C Mcclain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-242-6061 Fax: 229-242-6151 | |
Ms. Barbara Ann Pearce, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4233 Camelot Xing, Valdosta, GA 31602 Phone: 229-469-4383 Fax: 229-469-4584 | |
Mr. Nathan Kelly Roberson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4340 Kings Way, Valdosta, GA 31602 Phone: 229-333-9736 | |
Mr. Robert Donald Keen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2602 Rolling Rd, Valdosta, GA 31602 Phone: 229-560-4575 | |
William Thomas Mulligan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2409 N Patterson St # F3, Valdosta, GA 31602 Phone: 229-433-8160 |