| Mrs Mae D Johnson, FNP | |
|
914 Vista Drive, Dalton, GA 30721-8654 | |
| (706) 226-3139 | |
| (706) 278-6606 |
| Full Name | Mrs Mae D Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 40 Years |
| Location | 914 Vista Drive, Dalton, 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 |
|---|---|---|---|
| 1912905464 | NPI | - | NPPES |
| 000670326B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | RN027354 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN027354 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Medical Center | Dalton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Medical Group | 3971575390 | 7 |
| Entity Name | Cornerstone Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275515967 PECOS PAC ID: 3971575390 Enrollment ID: O20040806000991 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mae D Johnson, FNP 914 Vista Drive, Dalton, GA 30721-8654 Ph: (706) 226-3139 | Mrs Mae D Johnson, FNP 914 Vista Drive, Dalton, GA 30721-8654 Ph: (706) 226-3139 |
Mrs. Jessica Sanders, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126 | |
Mrs. Katie Louise Wooten, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720 Phone: 706-278-1622 Fax: 706-272-6445 | |
Karen Lolley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721 Phone: 706-229-9709 Fax: 706-229-9779 | |
Amy Fouts, DNP, BSN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-7000 | |
Joy Bernice Whaley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Professional Blvd, Dalton, GA 30720 Phone: 706-226-2621 Fax: 706-281-2325 | |
Mrs. Kelli Michelle Welch, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633 | |
Autumn Denise Bartenfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126 |