ARDENA JOHNSON (NPI# 1881862159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881862159 |
| Entity Type | Individual |
| Full Name | ARDENA JOHNSON |
| Practice Address |
60 Lightwood Dr Covington GA 30016 |
| Mailing Address |
60 Lightwood Dr Covington GA 30016-1916 |
| Practice Telephone | 6784672778 |
| Mailing Telephone | 6784672778 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 102164303C | 05 |
| Street Address |
60 LIGHTWOOD DR |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911190 | Arianne Riley | Case Manager/Care Coordinator | 418 W 9th St, Covington, KY 41011-2145 | 2020-08-03 |
| 1013557263 | Deneacer Massop | Case Manager/Care Coordinator | 80 Brandon Dr, Covington, GA 30016-3333 | 2020-01-15 |
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1063067858 | Kevin Orlando Banegas | Case Manager/Care Coordinator | 1729 Orchard Dr, Covington, LA 70435-6041 | 2019-08-08 |
| 1417466400 | Kenneth Micheal Townsend | Case Manager/Care Coordinator | 19295 N 3rd St Ste 2, Covington, LA 70433-8897 | 2017-09-22 |
| 1326574781 | Erica C Delaune | Case Manager/Care Coordinator | 75153 Crestview Hills Loop, Covington, LA 70435-5678 | 2017-05-04 |
| 1700282035 | Danielle Darby | Case Manager/Care Coordinator | 3236 Highway 278, Covington, GA 30014-2402 | 2014-11-13 |
| 1467890582 | Ann Muehlenkamp Knochelmann | Case Manager/Care Coordinator | 604 Brandtly Ridge Dr, Covington, KY 41015-4230 | 2013-06-11 |
| 1194095216 | Ayme Mogle Meehan | Case Manager/Care Coordinator | 46 Begonia Dr, Covington, LA 70433-9102 | 2012-01-05 |
| 1356535967 | Lisa K. Davis-bloomer | Case Manager/Care Coordinator | 434 Scott St Fl 2, Family Service, Covington, KY 41011-1528 | 2007-08-28 |
| Find all providers in COVINGTON | ||||
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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.