EDDIE P JOHNSON III, DMD, PC (NPI# 1811266646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811266646 |
| Entity Type | Organization |
| Organization Name | EDDIE P JOHNSON III, DMD, PC |
| Practice Address |
2755 Barton Chapel Rd Augusta GA 30906 |
| Mailing Address |
2755 Barton Chapel Rd Augusta GA 30906-9579 |
| Practice Telephone | 7067909179 |
| Practice Fax Number | 7067903408 |
| Mailing Telephone | 7067909179 |
| Mailing Fax Number | 7067903408 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | DR. EDDIE P JOHNSON III (DENTIST) |
| Authorized Official Telephone | 7067909179 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 009685 | GA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00254526C | 05 |
| Street Address |
2755 BARTON CHAPEL RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906 |
| 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 |
| 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 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134462328 | J&m Nutritional Consulting Services, LLC | Preferred Provider Organization | 4053 Jimmie Dyess Pkwy Ste B, Augusta, GA 30909-9472 | 2013-04-05 |
| 1306116637 | Evergreen Geriatric Care Management, LLC | Preferred Provider Organization | 1521 Stovall St, Augusta, GA 30904-6215 | 2012-01-03 |
| 1619037314 | Love's Personal Care Facilities Inc | Preferred Provider Organization | 2366 Dublin Dr, Augusta, GA 30906-4021 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502925 | Global Administrative Solutions, Inc | Preferred Provider Organization | 665 Molly Ln Ste 150, Woodstock, GA 30189-3754 | 2020-09-15 |
| 1710597554 | Healthcare Placement Group, LLC | Preferred Provider Organization | 6751 Macon Rd Ste 6, Columbus, GA 31907-9295 | 2020-08-06 |
| 1285196477 | Nutrition Prescriptions LLC | Preferred Provider Organization | 2670 Miriam Ln, Decatur, GA 30032-5731 | 2019-04-05 |
| 1831622976 | Jencare Neiborhood Medical Center | Preferred Provider Organization | 2209 Brandon Ln Sw, Conyers, GA 30094-5084 | 2017-04-05 |
| 1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
| 1659818482 | Three In One Medical | Preferred Provider Organization | 5222 Addison Trl Sw, Lilburn, GA 30047-6670 | 2017-01-31 |
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1003267352 | New Horizon | Preferred Provider Organization | 6200 Bradley Park Dr, Columbus, GA 31904-3078 | 2016-06-28 |
| 1154796563 | Michelle Woodard M.d LLC | Preferred Provider Organization | 2410 Hog Mountain Rd Ste 303, Watkinsville, GA 30677-4850 | 2015-12-10 |
| 1730553322 | Amanda Kort, LLC | Preferred Provider Organization | 37 West Fairmont Avenue, Savannah, GA 31405 | 2015-11-19 |
| 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.