PETER CHARLES JOHNSON (NPI# 1669563029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563029 |
| Entity Type | Individual |
| Full Name | PETER CHARLES JOHNSON |
| Credential | M.D. |
| Practice Address |
965 Hawthorne Prk. Suite 100a Athens GA 30086 |
| Mailing Address |
Po Box 1390 Stone Mountain GA 30086-1390 |
| Practice Telephone | 7063691200 |
| Practice Fax Number | 7063690540 |
| Mailing Telephone | 7063691200 |
| Mailing Fax Number | 7063690540 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 034378 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000483755M | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073982187 | Peter Julian Johnson | Massage Therapist | 1928 Friendly Aly, Eugene, OR 97405-2110 | 2015-09-18 |
| 1942454012 | Peter Roy Johnson | Speech-Language Pathologist | 4650 Bay Blvd Apt 1021, Port Richey, FL 34668-6139 | 2008-11-15 |
| 1710148176 | Peter Arnold Johnson | Psychiatry & Neurology | 719 Sawdust Rd Ste 207, The Woodlands, TX 77380-2970 | 2008-06-18 |
| 1316146442 | Peter Eric Johnson | Plastic Surgery | 8901 West Golf Road, Suite 204, Des Plaines, IL 60016-6850 | 2007-07-18 |
| 1609939966 | Peter L Johnson | Social Worker | 39 Ware St, Somerville, MA 02144-1540 | 2006-12-18 |
| 1366532137 | Peter Graham Johnson | Preventive Medicine | 21862 Al Hwy 59, Suite B, Robertsdale, AL 36567-7007 | 2006-10-13 |
| 1306873906 | Peter A Johnson | Specialist | 112 Medical Cir, Winchester, VA 22601-3322 | 2006-06-27 |
| 1922042522 | Peter Johnson | Physician Assistant | 1009 Woodshire Ln, Street, MD 21154-1115 | 2006-06-15 |
| 1740260660 | Peter Carl Johnson | Obstetrics & Gynecology | 2737 Navarre Ave Ste 202, Oregon, OH 43616-3276 | 2006-01-18 |
| 1427666205 | Peter Eric Johnson | Chiropractor | 207 Jefferson St E, Sulphur Springs, TX 75482-2643 | 2020-07-17 |
| Street Address |
965 HAWTHORNE PRK. SUITE 100A |
| City | ATHENS |
| State | GA |
| Zip Code | 30086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
| 1033287214 | Jerome Fredrick Poeppelman | Podiatrist | 5405 Memorial Dr, Bldg C, Stone Mountain, GA 30086 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1619576485 | Angels Mobile Phlebotomy Services LLC | Technician, Pathology | 185 Kirby Ln, Athens, GA 30606-1683 | 2020-10-22 |
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1861091282 | Wild & Free Occupational Therapy, LLC | Occupational Therapist | 20582 Harris Rd, Athens, AL 35614-4500 | 2020-10-19 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| Find all providers in ATHENS | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881137479 | Lara Elizabeth Vaughn | Specialist | 1351 White Oak Dr, Athens, GA 30606-5211 | 2016-11-30 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| 1447666987 | Paul Dobbs | Specialist | 1002 E Pryor St, Athens, AL 35611-2160 | 2014-07-04 |
| 1699101105 | Cynthia A Czarnecki | Specialist | 105 Hamilton Rd, Athens, NY 12015-4912 | 2013-09-17 |
| 1780925560 | Julie E Kinsman | Specialist | 111 Old Hopkins St, Athens, PA 18810-1005 | 2013-03-04 |
| 1982960217 | Bruce A Townsend | Specialist | 1650 W Broad St, Athens, GA 30606-0001 | 2012-04-11 |
| 1144496662 | Basic Wellness Center, LLC | Specialist | 1190 Prince Ave, Lowr B, Athens, GA 30606-2769 | 2008-05-05 |
| 1922273655 | Center for Women's Health and Fitness, LLC | Specialist | 965 Hawthorne Ave, 100a, Athens, GA 30606-2139 | 2008-04-23 |
| 1649445438 | Southeast Ohio Sports Medicine and Physical Therapy | Specialist | 215 Columbus Rd Ste 101, Athens, OH 45701-1335 | 2008-04-23 |
| Find all providers in ATHENS | ||||
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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.