| Ricky Brandon Johnson, FNP-C | |
|
1570 Brampton Ave, Statesboro, GA 30458-0855 | |
| (912) 764-9196 | |
| (478) 237-9138 |
| Full Name | Ricky Brandon Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1570 Brampton Ave, Statesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841860541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN-NP239170 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | APRN-NP239170 (Georgia) | Secondary |
| Entity Name | Emanuel County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003221243 PECOS PAC ID: 3577473040 Enrollment ID: O20040107000256 |
| Entity Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Brandon Johnson, FNP-C 215 N Coleman St, Swainsboro, GA 30401-3530 Ph: (478) 419-1630 | Ricky Brandon Johnson, FNP-C 1570 Brampton Ave, Statesboro, GA 30458-0855 Ph: (912) 764-9196 |
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273 | |
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444 | |
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111 | |
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737 | |
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 | |
Ngoc Nu Banh, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 800-301-6254 Fax: 866-301-3007 |