| Mary Alice Johnson, NP-C | |
|
425 W 3rd Ave, Lower Level, Albany, GA 31701-1941 | |
| (229) 312-7050 | |
| (229) 312-7055 |
| Full Name | Mary Alice Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 425 W 3rd Ave, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275619108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | RN120782 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN120782 (Georgia) | Primary |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Johnson, NP-C 500 W 3rd Ave, Ste 101, Albany, GA 31701-1985 Ph: (229) 312-5800 | Mary Alice Johnson, NP-C 425 W 3rd Ave, Lower Level, Albany, GA 31701-1941 Ph: (229) 312-7050 |
Brittany Pines, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave, Suite 105, Albany, GA 31701 Phone: 229-312-2380 | |
Rhonda Jeannean Haynes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Elizabeth Joffrion Tye, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2701 Meredyth Dr, Albany, GA 31707 Phone: 229-883-7010 Fax: 229-435-4022 | |
Scarlett Ann Wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 5th Ave, Albany, GA 31701 Phone: 229-883-4555 Fax: 229-888-0063 | |
Josiane K Ewiah, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 W 4th Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Susan Darlene Boyett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3300 Fax: 229-438-4651 | |
Ms. Beverly Ann Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2173 Fax: 229-434-2548 |