| Kimberly Crump Johnson, NP-C | |
|
2809 Pine St, Unadilla, GA 31091-7701 | |
| (478) 627-3213 | |
| (478) 627-3669 |
| Full Name | Kimberly Crump Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2809 Pine St, Unadilla, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043526460 | NPI | - | NPPES |
| 003120293A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN093193 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Houston Medical Center | Warner robins, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vineville Internal Medicine Llc | 0941281711 | 24 |
| Entity Name | Vineville Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396955431 PECOS PAC ID: 0941281711 Enrollment ID: O20060223000410 |
| Entity Name | Urgent Care Center Of Central Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306241336 PECOS PAC ID: 2466752993 Enrollment ID: O20151204001229 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Crump Johnson, NP-C Po Box 1297, Hawkinsville, GA 31036-7297 Ph: (478) 624-3213 | Kimberly Crump Johnson, NP-C 2809 Pine St, Unadilla, GA 31091-7701 Ph: (478) 627-3213 |
Mrs. Kristie Lashawn Lawson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1412 Plunket Rd, Unadilla, GA 31091 Phone: 478-627-2126 Fax: 478-627-9427 | |
Mrs. Marian A Conway, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2858 Pine Street, Unadilla, GA 31091 Phone: 478-627-3263 Fax: 478-627-9714 | |
Timothy Blake Burnham, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1412 Plunket Rd, Unadilla, GA 31091 Phone: 478-627-2000 | |
Ms. Bianca Lester Mcburse, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2809 Pine St, Unadilla, GA 31091 Phone: 478-355-3000 Fax: 478-355-3001 |