NEDRA D JOHNSON (NPI# 1528257359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528257359 |
| Entity Type | Individual |
| Full Name | NEDRA D JOHNSON |
| Credential | NP |
| Practice Address |
1010 Village Dr Watkinsville GA 30677-6004 |
| Practice Telephone | 7067690000 |
| Practice Fax Number | 7067690320 |
| Mailing Telephone | 7067690000 |
| Mailing Fax Number | 7067690320 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN105276 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265941512 | Nedra Johnson | Day Training, Developmentally Disabled Services | 5049 Urban Ave, Dallas, TX 75227-2776 | 2017-09-28 |
| 1437372711 | Nedra Kay Johnson | Marriage & Family Therapist | 3172 Walford Ave, Suite 4, Eureka, CA 95503-4827 | 2007-04-11 |
| Street Address |
1010 VILLAGE DR |
| City | WATKINSVILLE |
| State | GA |
| Zip Code | 30677-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197785 | Roland Nash | Family Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-01-04 |
| 1518147982 | Virginia H Kemp | Nurse Practitioner | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2007-11-14 |
| 1073700886 | Ivey Broxton | Nurse Practitioner | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2007-09-26 |
| 1265597835 | Regional Firstcare Inc | Emergency Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-12-26 |
| 1992878045 | Bradwell Rustin Mcalister | Emergency Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-11-16 |
| 1225101371 | Kelly Mackey | Family Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-11-16 |
| 1396818431 | James M Delong | Emergency Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-11-16 |
| 1295808368 | Wayne M Rosen | Emergency Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-11-16 |
| 1073686119 | Navin L Patel | Emergency Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-11-16 |
| 1437187788 | Julia M Quinn | Family Medicine | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071478 | Brenda Gerai James | Behavior Technician | 1272 Virgil Langford Rd, Ste 101, Watkinsville, GA 30677 | 2020-10-22 |
| 1881292597 | Chloe Wise | Specialist/Technologist | 360 Caduceus Way Building 600 - Suite 101., Watkinsville, GA 30677 | 2020-10-14 |
| 1912518531 | Samuel S Kwon - Athens Dmd PC | Dentist | 1795 Resurgence Drive, Suite 101, Watkinsville, GA 30677 | 2020-08-17 |
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1306479068 | Meggan Brittany Reed | Counselor | 1550 Jennings Mill Rd, Suite 1700b, Watkinsville, GA 30677 | 2020-02-20 |
| 1699322040 | Christopher's Bridge, LLC | In Home Supportive Care | 3651 Mars Hill Rd, Suite 1600, Watkinsville, GA 30677 | 2019-08-21 |
| 1093209538 | Haley Bauguss | Physician Assistant | 1624 Mars Hill Road, Suite B, Watkinsville, GA 30677 | 2018-06-19 |
| 1134618317 | Amanda Burns Denson | Nurse Practitioner | 1181 Langford Drive, Building 300, Suite 104, Watkinsville, GA 30677 | 2018-05-03 |
| 1780105528 | Inspiring Hospice Partners of Georgia LLC | Hospice Care, Community Based | 1252 Virgil Langford Rd, Watkinsville, GA 30677 | 2017-07-01 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| Find all providers in zip 30677 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644974 | Lisa Nicole Jones | Nurse Practitioner | 1357 Oconee Connector Bldg 100, Watkinsville, GA 30677-7312 | 2020-09-18 |
| 1659873412 | Courtney Hinson | Nurse Practitioner | 1500 Langford Dr, Watkinsville, GA 30677-7298 | 2018-03-07 |
| 1700065232 | Julia Rosdeutscher Crowe | Nurse Practitioner | 143 New High Shoals Rd, Watkinsville, GA 30677-2459 | 2007-11-01 |
| 1326007840 | Rhonda T Winters | Nurse Practitioner | 1361 Jennings Mill Rd Ste 201, Watkinsville, GA 30677-7292 | 2006-03-22 |
| 1679122790 | Brittany Armour Wheatley | Nurse Practitioner | 1180 Resurgence Dr Ste 100, Watkinsville, GA 30677-7211 | 2019-09-11 |
| 1376001446 | Erica Jane Smith | Nurse Practitioner | 1360 Caduceus Way Bldg 400-104, Watkinsville, GA 30677-7351 | 2019-03-07 |
| 1639690241 | Leigh Anne Landers | Nurse Practitioner | 1747 Langford Dr Bldg 400-105, Watkinsville, GA 30677-7370 | 2017-07-05 |
| 1275916629 | Ruth Quicke Brown | Nurse Practitioner | 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 | 2015-07-02 |
| 1073700886 | Ivey Broxton | Nurse Practitioner | 1010 Village Dr, Watkinsville, GA 30677-6004 | 2007-09-26 |
| 1396720975 | Eileen M Stocklinski | Nurse Practitioner | 1550 Mars Hill Rd, Watkinsville, GA 30677-4836 | 2005-12-07 |
| Find all providers in WATKINSVILLE | ||||
| City | WATKINSVILLE |
| Zip Code | 30677 |
Please comment or provide details below to improve the information on NEDRA D JOHNSON.
| 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.