| Mallory Harris Johnson, CRNA | |
|
3100 Kemble Ave, Brunswick, GA 31520-4211 | |
| (334) 279-1450 | |
| (334) 279-1660 |
| Full Name | Mallory Harris Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 3100 Kemble Ave, Brunswick, 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 |
|---|---|---|---|
| 1801353081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN239579 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Precision Anesthesia Partners Llc | 5991193088 | 20 |
| Entity Name | Alta Anesthesia Associates of Georgia, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222 |
| Entity Name | North Fulton Anesthesia Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
| Entity Name | Northlake Anesthesia Professionals, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982637419 PECOS PAC ID: 2769471796 Enrollment ID: O20040506001031 |
| Entity Name | Anesthesia Solutions of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093035677 PECOS PAC ID: 5991998965 Enrollment ID: O20101022000244 |
| Entity Name | Advanced Urology Institute of Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073896510 PECOS PAC ID: 1759552607 Enrollment ID: O20110926000393 |
| Entity Name | Ahs Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316214604 PECOS PAC ID: 7911169925 Enrollment ID: O20120508000359 |
| Entity Name | Atlanta Anesthesia Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487928370 PECOS PAC ID: 4486818093 Enrollment ID: O20120612000168 |
| Entity Name | Advanced Urology Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215365242 PECOS PAC ID: 8729218417 Enrollment ID: O20140225000485 |
| Entity Name | Perimeter Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922402445 PECOS PAC ID: 2567763048 Enrollment ID: O20151229001858 |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Entity Name | Advanced Gynecology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093296824 PECOS PAC ID: 0143568634 Enrollment ID: O20190207001589 |
| Entity Name | Csp Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568946812 PECOS PAC ID: 6901147206 Enrollment ID: O20190415002910 |
| Entity Name | Precision Anesthesia Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083284335 PECOS PAC ID: 5991193088 Enrollment ID: O20211021002402 |
| Mailing Address | Practice 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 |
Jayda Skye Anderson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 |
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 |
Jennifer Faillace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 |
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 |