| Dr Vann Andre Johnson, DPM | |
|
466 Green St Ne, Gainesville, GA 30501-3312 | |
| (770) 534-3668 | |
| (770) 536-5878 |
| Full Name | Dr Vann Andre Johnson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 17 Years |
| Location | 466 Green St Ne, Gainesville, 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 |
|---|---|---|---|
| 1902108053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD001162 (Georgia) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3499 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Village Podiatry Group Llc | 4587646971 | 47 |
| Village Podiatry Group Ii Llc | 7719218437 | 61 |
| Provider Name | Village Podiatry Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508846718 PECOS PAC ID: 4587646971 Enrollment ID: O20040601000776 |
| Provider Name | Village Podiatry Group Ii Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427540699 PECOS PAC ID: 7719218437 Enrollment ID: O20191010003075 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vann Andre Johnson, DPM 900 Circle 75 Pkwy., Ste 900, Atlata, GA 30339-3084 Ph: (678) 426-2171 | Dr Vann Andre Johnson, DPM 466 Green St Ne, Gainesville, GA 30501-3312 Ph: (770) 534-3668 |
Dr. Rudolf W Cisco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-287-0606 Fax: 770-287-0159 | |
North Ga Foot And Ankle Spec Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-287-0606 | |
Dr. Gregory Thomas Sutton, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 447 Ee Butler Parkway Floor 1, Gainesville, GA 30501 Phone: 770-796-0005 Fax: 770-796-0006 | |
Gainesville Podiatry Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1975 Beverly Road, Suite B, Gainesville, GA 30501 Phone: 770-536-9908 Fax: 770-532-7102 | |
Purvi Shaan Shah, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 590 S Enota Dr Ne Ste 1, Gainesville, GA 30501 Phone: 470-252-5756 Fax: 470-252-5756 | |
Malone Foot And Ankle, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 691 Lanier Park Dr, Suite B, Gainesville, GA 30501 Phone: 770-533-9115 Fax: 770-533-9922 | |
Dr. Patrick M. Qualtire, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |