BRIAN JOHNSON (NPI# 1548630122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548630122 |
| Entity Type | Individual |
| Full Name | BRIAN JOHNSON |
| Practice Address |
1163 Bridge Mill Ave Canton GA 30114-7713 |
| Practice Telephone | 7708456027 |
| Mailing Telephone | 7708456027 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246W00000X | Technician, Cardiology | 00015619 | GA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| 1720483977 | Brian Johnson | Contractor | 2940 Wakefield Ct, Hephzibah, GA 30815-6542 | 2014-10-30 |
| Street Address |
1163 BRIDGE MILL AVE |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 246W00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Cardiology |
| An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932556321 | Krystie Heyward | Technician, Cardiology | 5900 Trent Walk Dr, Lithonia, GA 30038-1957 | 2016-05-16 |
Please comment or provide details below to improve the information on BRIAN 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.