MR. SAMUEL ARMAND JOHNSON (NPI# 1740628700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740628700 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL ARMAND JOHNSON |
| Practice Address |
2005 Shannon Gray Ct Jamestown NC 27282-9183 |
| Mailing Address |
215 W 6th St Newton NC 28658-3107 |
| Practice Telephone | 3363074729 |
| Mailing Telephone | 8286380010 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176677 | Samuel Eric Johnson | Dentist | 5128 Old Highway 11 Ste 7, Hattiesburg, MS 39402-6234 | 2018-06-05 |
| 1245730787 | Samuel Johnson | Behavior Technician | 17688 71st Ln N, Loxahatchee, FL 33470-5501 | 2018-02-20 |
| 1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
| 1184095556 | Samuel Lee Johnson IIi | Counselor | 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 | 2015-10-12 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1487032751 | Samuel H Johnson | Social Worker | 500 Adams Street, Box 3243, Seward, AK 99664-3243 | 2015-05-07 |
| 1285034496 | Samuel Johnson II | Specialist/Technologist | 220 Champions Drive, Harrisonburg, VA 22807-2478 | 2014-08-26 |
| 1528475092 | Samuel Johnson | Specialist/Technologist | 101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577 | 2014-07-16 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1205074846 | Samuel Charles-prabhakar Johnson | Physical Therapist | 1026 46th St, Brooklyn, NY 11219-2401 | 2009-02-03 |
| Street Address |
2005 SHANNON GRAY CT |
| City | JAMESTOWN |
| State | NC |
| Zip Code | 27282-9183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669613071 | Greatest Generation, Inc. | Skilled Nursing Facility | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2009-03-13 |
| 1952950610 | Alexis Frazier | Occupational Therapy Assistant | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2019-09-05 |
| 1982266276 | Joshua Herring | Occupational Therapist | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2019-07-08 |
| 1427392927 | Scott M Boris | Occupational Therapist | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2012-11-21 |
| 1316281959 | Hannah Murray Smith | Physical Therapy Assistant | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2012-11-20 |
| 1639461924 | Janet G Emmett | Occupational Therapy Assistant | 2005 Shannon Gray Ct, Jamestown, NC 27282-9183 | 2011-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
| 1912269036 | Jacob Ilardi | Licensed Practical Nurse | 310 Nutwood Circle, Jameston, NC 27282 | 2012-06-14 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1972787083 | Charles L Brandenburg IIi Dds | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| 1013034156 | Cecelia A Tolliver | Specialist/Technologist | 602 High Point Rd., Jamestown, NC 27282 | 2007-03-23 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1982110342 | Novant Medical Group. Inc. | Family Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2017-12-21 |
| 1275992943 | Amanda Brooks Adamski | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2016-02-23 |
| 1548573207 | Regional Physicians LLC | Family Medicine | 604 W Main St, Jamestown, NC 27282 | 2010-07-22 |
| Find all providers in zip 27282 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
| 1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
| 1376075390 | Brionna Fifer | Student in an Organized Health Care Education/Training Program | 6415 Hargrave Rd, Jamestown, OH 45335-9562 | 2017-03-29 |
| 1518287663 | Janelle Riolo | Student in an Organized Health Care Education/Training Program | 540 Lakeview Ave, Jamestown, NY 14701 | 2010-06-10 |
| 1013515113 | Keiona Marie Nance | Student in an Organized Health Care Education/Training Program | 45 Howard St, Jamestown, NY 14701-8124 | 2020-10-12 |
| 1902154677 | Teresa Samuelson | Student in an Organized Health Care Education/Training Program | 200 E 3rd St, Jamestown, NY 14701-5433 | 2012-08-28 |
| 1164727756 | Kristen Beth Ernewein | Student in an Organized Health Care Education/Training Program | 200 E 3rd St, Jamestown, NY 14701-5433 | 2011-01-13 |
| 1568797124 | Adam Motacek | Student in an Organized Health Care Education/Training Program | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2009-10-14 |
| 1417103367 | Yvonne Calcaterra | Student in an Organized Health Care Education/Training Program | 107 Institute St, Jamestown, NY 14701-6628 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1487255378 | Frank Patterson Fairley Jr. | Student in an Organized Health Care Education/Training Program | 3006 Lawndale Dr Apt F, Greensboro, NC 27408-3450 | 2020-11-05 |
| 1790386829 | Rachel Myrah Wallace | Student in an Organized Health Care Education/Training Program | 185 Doby Rd, Cameron, NC 28326-8185 | 2020-11-04 |
| 1518568013 | Ashley Nicole Gwyn | Student in an Organized Health Care Education/Training Program | 2021 Frank Rd, Asheboro, NC 27205-1381 | 2020-11-03 |
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1801496377 | Meghan Emily Hileman | Student in an Organized Health Care Education/Training Program | 321 S Columbia St # 7121, Chapel Hill, NC 27514-4309 | 2020-10-26 |
| 1689273146 | Jennifer French | Student in an Organized Health Care Education/Training Program | 4818 Hickory Woods Dr, Greensboro, NC 27410-9161 | 2020-10-25 |
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1649878273 | Rachel Elizabeth Corak | Student in an Organized Health Care Education/Training Program | 7176 Blackmoor Rd, Kernersville, NC 27284-8614 | 2020-10-15 |
| 1598363541 | Walter Carl Credle Iv | Student in an Organized Health Care Education/Training Program | 825 Park Center Dr Apt 305, Matthews, NC 28105-5044 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.