Mallory Harris Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Brunswick, GA

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Mallory Harris Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brunswick, Georgia. Her current practice location is 3100 Kemble Ave, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (334) 279-1450.

Mallory Harris Johnson is licensed to practice in Georgia (license number RN239579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801353081.

Contact Information

Mallory Harris Johnson, CRNA
3100 Kemble Ave,
Brunswick, GA 31520-4211
(334) 279-1450
(334) 279-1660

Map and Direction




Provider's Profile

Full NameMallory Harris Johnson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location3100 Kemble Ave, Brunswick, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801353081
  • Provider Enumeration Date: 02/25/2019
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385985506
  • Enrollment ID: I20190417000362

Medical Identifiers

Medical identifiers for Mallory Harris Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801353081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN239579 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mallory Harris Johnson allows following entities to bill medicare on her behalf.
Entity NameAlta Anesthesia Associates Of Georgia, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504771
PECOS PAC ID: 8729992987
Enrollment ID: O20031113000222
Entity NameNorth Fulton Anesthesia Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467445262
PECOS PAC ID: 7113914466
Enrollment ID: O20040428000839
Entity NameNorthlake Anesthesia Professionals, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982637419
PECOS PAC ID: 2769471796
Enrollment ID: O20040506001031
Entity NameAnesthesia Solutions Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093035677
PECOS PAC ID: 5991998965
Enrollment ID: O20101022000244
Entity NameAdvanced Urology Institute Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073896510
PECOS PAC ID: 1759552607
Enrollment ID: O20110926000393
Entity NameAhs Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316214604
PECOS PAC ID: 7911169925
Enrollment ID: O20120508000359
Entity NameAtlanta Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487928370
PECOS PAC ID: 4486818093
Enrollment ID: O20120612000168
Entity NameAdvanced Urology Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215365242
PECOS PAC ID: 8729218417
Enrollment ID: O20140225000485
Entity NamePerimeter Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922402445
PECOS PAC ID: 2567763048
Enrollment ID: O20151229001858
Entity NameAlpharetta Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568840528
PECOS PAC ID: 1153620869
Enrollment ID: O20160502001999
Entity NameSleep Ezzy
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154852820
PECOS PAC ID: 4486920295
Enrollment ID: O20171023003067
Entity NameAdvanced Gynecology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093296824
PECOS PAC ID: 0143568634
Enrollment ID: O20190207001589
Entity NameCsp Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568946812
PECOS PAC ID: 6901147206
Enrollment ID: O20190415002910
Entity NamePrecision Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083284335
PECOS PAC ID: 5991193088
Enrollment ID: O20211021002402

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Harris Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Harris Johnson, CRNA
Po Box 116111,
Atlanta, GA 30368-6111

Ph: (334) 279-1450		Mallory Harris Johnson, CRNA
3100 Kemble Ave,
Brunswick, GA 31520-4211

Ph: (334) 279-1450

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Brunswick, GA

Shannon Lynne Monteleone, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520
Phone: 912-466-7000    
Maxwell Donnan, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Fountain Park Cir Ste 4, Brunswick, GA 31520
Phone: 912-617-4553    Fax: 912-264-5003
John D Porzio V, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Kemble Ave, Brunswick, GA 31520
Phone: 800-232-5703    Fax: 334-395-4110
Sandra E Deschaine, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Kemble Ave, Brunswick, GA 31520
Phone: 800-232-5703    
Adam Wesley Harper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Kemble Ave, Brunswick, GA 31520
Phone: 334-279-1450    
Heather Cone Mitchell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Fountain Park Cir Ste 4, Brunswick, GA 31520
Phone: 912-264-0014    
Steven Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Kemble Ave, Brunswick, GA 31520
Phone: 912-466-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.