| Ms Whitney Dawn Johnson, PT | |
|
1706 Magnolia Way, Augusta, GA 30909-9481 | |
| (706) 210-7529 | |
| (706) 312-7613 |
| Full Name | Ms Whitney Dawn Johnson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1706 Magnolia Way, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619927357 | NPI | - | NPPES |
| 2460804 | Medicaid | OH | |
| 0156624000 | Medicaid | WV | |
| 705253983A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 001124 (West Virginia) | Secondary |
| 225100000X | Physical Therapist | 06214 (Ohio) | Secondary |
| 225100000X | Physical Therapist | 008908 (Georgia) | Primary |
| Provider Name | Sports Medicine Associates Of Augusta, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043351703 PECOS PAC ID: 6204817232 Enrollment ID: O20040526000797 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Whitney Dawn Johnson, PT 1706 Magnolia Way, Augusta, GA 30909-9481 Ph: (706) 210-7529 | Ms Whitney Dawn Johnson, PT 1706 Magnolia Way, Augusta, GA 30909-9481 Ph: (706) 210-7529 |
Debra Beazley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1930 Highland Ave Ste A, Augusta, GA 30904 Phone: 706-481-9105 | |
Mrs. Stacy Leigh Rush, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 J Dewey Gray Cir, Augusta, GA 30909 Phone: 706-863-9797 Fax: 706-860-7686 | |
Mrs. Melissa Sue Williams, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 15th St, Augusta, GA 30901 Phone: 706-733-0188 | |
Bryce Scott Boeke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 254 Robert C Daniel Jr Pkwy Ste 4b, Augusta, GA 30909 Phone: 706-723-5795 | |
Jeel Anish Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 Interstate Pkwy, Augusta, GA 30909 Phone: 706-945-0810 Fax: 706-945-0821 | |
Mrs. Deborah Bradley Mote, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2482 | |
Mrs. Sarah Marsh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Greene St, Augusta, GA 30901 Phone: 706-869-4501 |