| Michael Olton Johnson, PA | |
|
377 W Pike St # A3-2, Lawrenceville, GA 30046-4881 | |
| (470) 461-7031 | |
| (770) 502-6820 |
| Full Name | Michael Olton Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 377 W Pike St # A3-2, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003313727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11074 (Georgia) | Primary |
| 363A00000X | Physician Assistant | 021943 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Lij Urgent Care Pc | 6002131778 | 389 |
| Entity Name | Port City Emergency Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | Harlem Medical Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
| Entity Name | Excel Urgent Care of Nesconset PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851679252 PECOS PAC ID: 5092985986 Enrollment ID: O20110901000410 |
| Entity Name | Excel Urgent Care of Astoria PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235434036 PECOS PAC ID: 4981874641 Enrollment ID: O20110907001213 |
| Entity Name | Excel Urgent Care of East Northport PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881978021 PECOS PAC ID: 5294909826 Enrollment ID: O20111117000180 |
| Entity Name | Excel Urgent Care of Nhp PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952652281 PECOS PAC ID: 1658517883 Enrollment ID: O20130413000109 |
| Entity Name | Excel Urgent Care of Wantagh PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184067936 PECOS PAC ID: 9234364027 Enrollment ID: O20131104000254 |
| Entity Name | North Shore Lij Urgent Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Entity Name | Essen Medical Urgicare, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Olton Johnson, PA 377 W Pike St # A3-2, Lawrenceville, GA 30046-4881 Ph: (470) 461-7031 | Michael Olton Johnson, PA 377 W Pike St # A3-2, Lawrenceville, GA 30046-4881 Ph: (470) 461-7031 |
Ms. Andrea Peyton Moe, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4357 |
Jasmin Whitney Robin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 Philip Blvd Ste A, Lawrenceville, GA 30046 Phone: 770-822-5560 Fax: 770-822-4989 |
Mrs. Daviea Antoinette Taylor-hicks, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 771 Old Norcross Rd, Lawrenceville, GA 30046 Phone: 678-802-4045 |
Brooke Anne Saliba, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1025 Country Walk Ct, Lawrenceville, GA 30043 Phone: 770-686-4107 |
Ms. Lashonda Kenya Bloodsaw-scott, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1735 N Brown Raod, Health Care Partners, Lawrenceville, GA 30043 Phone: 352-383-4505 Fax: 678-218-4041 |
Cassidy Rose Heflin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 170, Lawrenceville, GA 30046 Phone: 678-312-2663 Fax: 770-962-8587 |
Rauha Attawala, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 755 Lawrenceville Suwanee Rd Ste 1600, Lawrenceville, GA 30043 Phone: 770-995-1500 |