| Mr David Johnson, PA-C | |
|
3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 | |
| (706) 353-2990 | |
| (706) 353-2992 |
| Full Name | Mr David Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 3320 Old Jefferson Rd Bldg 800, Athens, 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 |
|---|---|---|---|
| 1144662180 | NPI | - | NPPES |
| 003137031 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006863 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| St Mary's Hospital | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Cancer And Blood Center Llc | 0345293866 | 66 |
| Entity Name | Emerginet Srmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538118344 PECOS PAC ID: 9436062973 Enrollment ID: O20031110000743 |
| Entity Name | North Metropolitan Radiology Associates LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437137031 PECOS PAC ID: 7214825561 Enrollment ID: O20040308001224 |
| Entity Name | Emerginet Henry, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Entity Name | University Cancer & Blood Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346343761 PECOS PAC ID: 0345293866 Enrollment ID: O20050224000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Johnson, PA-C Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Mr David Johnson, PA-C 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 Ph: (706) 353-2990 |
Kayla Weaver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Rd, Athens, GA 30607 Phone: 706-613-1625 |
Kalen Elizabeth Ashford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1061 Dowdy Rd Ste 202, Athens, GA 30606 Phone: 706-389-8941 Fax: 706-389-8942 |
Krystle Williams Swain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Rd Ste 600, Athens, GA 30607 Phone: 762-356-4933 Fax: 762-356-4034 |
Amanda Wilkins, CAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449 |
Julie A Puder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 Hawthorne Ln, Athens, GA 30606 Phone: 706-353-7648 Fax: 706-353-7788 |
Joseph Hale, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1765 Old West Broad St, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 |
William Cellaigh Corbitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue Suite 130, Athens, GA 30606 Phone: 706-475-1870 |