MR. CLYDE D JOHNSON JR.


Address: 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328
Phone: 4043037703

MR. CLYDE D JOHNSON JR. (NPI# 1821256223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821256223
Entity Type Individual
Full Name MR. CLYDE D JOHNSON JR.
Credential CSA
Practice Address 5881 Glendrige Dr Ne
Suite 120
Atlanta
GA 30328
Practice Telephone 4043037703
Mailing Telephone 4043037703
Enumeration Date 2008-06-02
Last Update Date 2017-09-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2625-2 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA DEPT OF LABOR 359555800 01

Other Providers CLYDE JOHNSON

NPI Name Taxonomy Address Enumeration
1447749056 Clyde Johnson IIi Community/Behavioral Health 2525 Tiller Lane Ste 110, Columbus, OH 43231 2018-05-09
1063766723 Clyde Francis Johnson Chiropractor 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 2012-11-02
1568767317 Clyde Johnson Counselor 930 N 14th St, New Castle, IN 47362-4311 2011-01-25
1962579375 Clyde W Johnson Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 2006-11-29
1124007851 Clyde L. Johnson Jr. Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2006-01-11

Office Location

Street Address 5881 GLENDRIGE DR NE
SUITE 120
City ATLANTA
State GA
Zip Code 30328

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467910042 Amber Andrews Behavior Technician 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 2019-03-04
1215492830 Ryan William Dubinin Behavior Technician 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 2019-02-07
1346710142 Emily Rose Lloyd Swavely Speech-Language Pathologist 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 2018-12-05
1063994481 Mark Edward Brachmanski Optometrist 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 2018-09-01
1407352578 Nina Brown Massage Therapist 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 2018-04-05
1336657741 Renee Usher Reeves Assistant Behavior Analyst 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 2018-01-19
1487168274 Patricia Nicole Felder Student in an Organized Health Care Education/Training Program 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 2017-12-01
1447762927 Ponders Podiatry LLC Podiatrist 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 2017-10-24
1770093601 Syed M Rasheed Physician Assistant 5788 Roswell Rd Ste 100, Atlanta, GA 30328 2017-10-05
1437678190 Jeanette Denise Jones Counselor 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 2017-09-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912356775 Jason Weddington Physician Assistant 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 2016-06-11
1578937181 Vds Surgical Assistants, Inc. Physician Assistant 1307 W Garmon Rd, Atlanta, GA 30327-4405 2015-11-19
1407220379 Simpson Surgery Group, LLC Physician Assistant 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 2015-11-16
1417388232 Tracey Lorena Tello Physician Assistant 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132 2013-12-04
1336587401 Marissa B Highnote Physician Assistant 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 2013-06-11
1396013223 Signature Surgical Assistants Physician Assistant 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 2011-12-07
1720364318 Leah Strickland Physician Assistant 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 2011-10-26
1669798872 Tiffiany Mccune Physician Assistant 4979 Lower Elm St, Atlanta, GA 30349-1677 2010-04-13
1306177233 Hong Feng Shi Physician Assistant 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 2010-01-15
1043408438 Samuel Marion Physician Assistant 5881 Glenridge Dr Ste 120, Atlanta, GA 30328-8184 2007-10-10
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Competitor

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City ATLANTA
Zip Code 30328

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Dataset Information

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.

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