JOHNNIE KELLY (NPI# 1609292226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609292226 |
| Entity Type | Individual |
| Full Name | JOHNNIE KELLY |
| Credential | RN |
| Practice Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7064324837 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN071976 | GA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606317B | 05 |
| Street Address |
3421 MIKE PADGETT HWY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669456620 | Csb Community Mental Health Center of East Central Georgia | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2005-12-02 |
| 1609477033 | Toni Paschal | Marriage & Family Therapist | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-11-03 |
| 1457952897 | Michael Preddy | Counselor | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-11-03 |
| 1083221337 | Olusola Zainab Ajala | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-09-29 |
| 1356953715 | Monique Bramwell | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-08-18 |
| 1528695285 | Stephen Ray Martell | Counselor | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-03-24 |
| 1841826245 | Rachael L Fowler | Counselor | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-03-17 |
| 1992330914 | Kaylee D Ramos | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-03-10 |
| 1205461464 | Toni Akiti | Licensed Practical Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-03-09 |
| 1831737931 | Jessica Welichko | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967071 | Simran Kaur | Registered Nurse | 2252 Nellie Dr, Augusta, GA 30906-8964 | 2020-03-13 |
| 1366960841 | Stephanie Dragoon | Registered Nurse | 712 Eastern Ave, Augusta, ME 04330-6713 | 2017-09-05 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1992330914 | Kaylee D Ramos | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-03-10 |
| 1598235145 | Mollie Odum | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906 | 2018-11-27 |
| 1487009403 | Ashley Adkins | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2016-04-27 |
| 1669810909 | Donna L. Hunt | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-06-10 |
| 1588002018 | Auriel W Pound | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2013-06-06 |
| 1053657221 | Demetrial Evette Chandler | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2012-12-17 |
| 1780957126 | Tommie Sue Bianchi-rossi | Registered Nurse | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2012-02-15 |
| Find all providers in AUGUSTA | ||||
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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.