JUANTINA JOHNSON MD LLC (NPI# 1033461009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033461009 |
| Entity Type | Organization |
| Organization Name | JUANTINA JOHNSON MD LLC |
| Practice Address |
1314 19th Ave Meridian MS 39301-4116 |
| Mailing Address |
757 Burton Clark Rd De Kalb MS 39328-6145 |
| Practice Telephone | 8779534864 |
| Mailing Telephone | 8779534864 |
| Mailing Fax Number | 7709538132 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | DR. JUANTINA JOHNSON (OWNER/MANAGER) |
| Authorized Official Telephone | 8779534864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
21445 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1314 19TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682807 | Teresa B. Redmond | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2005-07-12 |
| 1881207918 | Cindy Renee' Quinn | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4195 | 2020-08-28 |
| 1821625773 | Michaela L. Moore | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2020-03-23 |
| 1821631128 | Leah Lindsley Ward | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-10-20 |
| 1356901169 | Laura Elizabeth Perry | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-06-14 |
| 1407318231 | Stephen G Fleming | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4195 | 2019-04-01 |
| 1437624566 | Kayla Lauren Barnett | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-10-04 |
| 1689158909 | Leah Denise Phillips | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-21 |
| 1114401908 | Connie J Gainey | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-18 |
| 1861988669 | Ashley Leigh Blass | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629117619 | Karen S Miller | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-06 |
| 1659419448 | James P Souza | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-02 |
| 1730227927 | William G Bergquist | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1104964204 | Wendi M Norris | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1790823904 | Saadia R Akhtar | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1154469328 | William J Dittrich | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1467590661 | David E Sasso | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1265570360 | Sogol Nowbar | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2007-02-01 |
| 1578591210 | Brian W Goltry | Internal Medicine | 2347 E Gala St, Meridian, ID 83642-4881 | 2006-06-29 |
| 1760469340 | William F Reid | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-27 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.