JENNIFER BEDELL JOHNSON (NPI# 1821209800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821209800 |
| Entity Type | Individual |
| Full Name | JENNIFER BEDELL JOHNSON |
| Credential | MD |
| Practice Address |
1000 Medical Center Blvd Radiology Department Lawrenceville GA 30045-7694 |
| Mailing Address |
2500 North State Street Jackson MS 32916 |
| Practice Telephone | 7709954321 |
| Mailing Telephone | 6019842538 |
| Mailing Fax Number | 6018151854 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14726 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
055604 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P01194854 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1538716014 | Jennifer Johnson | Social Worker | 4400 Old Canton Rd, Jackson, MS 39211-5982 | 2019-08-20 |
| 1699337410 | Jennifer Johnson | Registered Nurse | F341 County Road 6, Deshler, OH 43516-9738 | 2019-07-02 |
| 1427514397 | Jennifer Denise Johnson | Registered Nurse | 573 Lake Manor Dr, Greenville, MS 38701-7417 | 2019-02-15 |
| 1649734583 | Jennifer A Johnson | Counselor | 6126 W State St Ste 102, Boise, ID 83703-2741 | 2019-01-24 |
| 1487125464 | Jennifer Ellen Johnson | Counselor | 614 Haven Ln, Clarks Summit, PA 18411-2402 | 2018-12-17 |
| 1053892638 | Jennifer Yvonne Johnson | Home Health | 121 N Heritage Oaks Dr, Texas City, TX 77591-9326 | 2018-08-22 |
| 1336625912 | Jennifer Johnson | Social Worker | 1 Court Rd, Westford, MA 01886-2627 | 2018-07-17 |
| 1003302415 | Jennifer Nicole Johnson | Respiratory Therapist, Certified | 190 Aviation Plaza, Suite D, Hot Springs, AR 71913-7191 | 2018-07-09 |
| Street Address |
1000 MEDICAL CENTER BLVD RADIOLOGY DEPARTMENT |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| 1346740230 | Alliance Health Care Inc | Radiology | 3545 Cruse Rd Ste 103, Lawrenceville, GA 30044-3169 | 2018-02-16 |
| 1467984054 | Brian Arun Xavier | Radiology | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-01 |
| 1811440522 | Women's Imaging Specialists | Radiology | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-07-28 |
| 1912221359 | Amish Tilara | Radiology | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2010-03-14 |
| 1588897508 | Open Mri of Georgia, Inc | Radiology | 600 Professional Dr, Suite 100, Lawrenceville, GA 30045-7651 | 2009-08-25 |
| 1588824825 | Mark G. Ferrara | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-06-10 |
| 1477711919 | Justin Derek Caughron | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-05-31 |
| 1295911808 | David Nelson Anderson | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-01-14 |
| 1841482478 | Lance G. Dasher | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2007-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on JENNIFER BEDELL 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.