| Shakia Johnson, APRN | |
|
1025 Bullsboro Dr Ste A, Newnan, GA 30265-6800 | |
| (678) 633-6841 | |
| (770) 502-2265 |
| Full Name | Shakia Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1025 Bullsboro Dr Ste A, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528420452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN195272 (Georgia) | Primary |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Mc Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Shakia Johnson, APRN 124 Powers Ferry Rd Se Ste E, Marietta, GA 30067-7579 Ph: (770) 726-2930 | Shakia Johnson, APRN 1025 Bullsboro Dr Ste A, Newnan, GA 30265-6800 Ph: (678) 633-6841 |
Leah Shupe, PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 Highway 34 E, Newnan, GA 30265 Phone: 770-502-0202 Fax: 770-502-8822 | |
Dena Michelle Singleton, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Mitchell Boles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1665 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 770-252-7557 Fax: 770-252-7513 | |
Darlene Rene Crittenden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014 | |
Felicia N. Onyeuku, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043 | |
Maafia A Osei-cheremeh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 | |
Jessica Isaac, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Parkway N, Newnan, GA 30265 Phone: 770-400-6000 |