MELODY JOHNSON (NPI# 1841803590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841803590 |
Entity Type | Individual |
Full Name | MELODY JOHNSON |
Credential | CCSH |
Practice Address |
100 Professional Pl Ste 307 Carrollton GA 30117-3872 |
Mailing Address |
126 Lakeview Dr Temple GA 30179-3708 |
Practice Telephone | 7708125977 |
Practice Fax Number | 7708125981 |
Mailing Telephone | 6789880705 |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | 263 | GA | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
1821397506 | Melody Marquris Johnson | Licensed Practical Nurse | 2911 N 12th St, Milwaukee, WI 53206-2618 | 2011-03-21 |
1437396066 | Melody L Johnson | Massage Therapist | 1201 Sw12th Ave, Suite 205, Portland, OR 97250 | 2009-01-20 |
1427271907 | Melody Marie Johnson | Physician Assistant | 357 Wekiva Springs Rd, Longwood, FL 32779-3607 | 2007-04-11 |
1225652555 | Melody Johnson | Technician | 2920 Clark Rd Spc 16b, Butte Valley, CA 95965-9140 | 2020-06-02 |
1215557095 | Melody Kaye Johnson | Adult Companion | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-04-21 |
1386295954 | Melody B Johnson | Physician Assistant | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-09-25 |
1730577966 | Melody Johnson | Licensed Practical Nurse | 3303 Logan Dr, Herrin, IL 62948-3732 | 2014-12-22 |
1740619436 | Melody Johnson | Nurse Practitioner | 635 Eichenfeld Dr, Brandon, FL 33511-5908 | 2013-11-04 |
Street Address |
100 PROFESSIONAL PL STE 307 |
City | CARROLLTON |
State | GA |
Zip Code | 30117-3872 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306356035 | Tanner Medical Center, Inc | Clinic/Center | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2017-10-09 |
1114530839 | Tina Garrett | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
Find all providers in zip 30117 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114530839 | Tina Garrett | Specialist/Technologist, Other | 100 Professional Pl Ste 307, Carrollton, GA 30117-3872 | 2020-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467052431 | Atlanta Regenerative Healthcare LLC | Specialist/Technologist, Other | 2445 Moon Rd Ste 4, Grayson, GA 30017-7851 | 2020-10-29 |
1215491691 | Daniels Earl Peters | Specialist/Technologist, Other | 3114 Asbury Sq, Atlanta, GA 30346-2421 | 2019-01-30 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1891146726 | Tammy Yvonne Hall | Specialist/Technologist, Other | 6658 Ashebrooke Dr, Douglasville, GA 30135-5375 | 2016-06-22 |
1659734721 | Latoya Franklin | Specialist/Technologist, Other | 303 Parkway Dr Ne # 442, Atlanta, GA 30312-1212 | 2016-04-05 |
1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
1780053397 | Robert L Lindsey IIi | Specialist/Technologist, Other | 2 Sandstone Dr, Jasper, GA 30143-1805 | 2015-09-24 |
1619346921 | Boise Eugene Hankerson Sr. | Specialist/Technologist, Other | 2730 Barry Dr, Augusta, GA 30904-5284 | 2015-09-16 |
1467894386 | Danielle Edwards | Specialist/Technologist, Other | 2399 Parkland Dr Ne, Suite 1112, Atlanta, GA 30324-3557 | 2013-07-19 |
Find all providers with the same taxonomy |
City | CARROLLTON |
Zip Code | 30117 |
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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.