BEVERLY C JOHNSON (NPI# 1891137873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891137873 |
| Entity Type | Individual |
| Full Name | BEVERLY C JOHNSON |
| Credential | MSW |
| Practice Address |
116 S Edward Avenue Mound Bayou MS 38762 |
| Mailing Address |
114 Edward Avenue Suite B Mound Bayou MS 38762 |
| Practice Telephone | 6627192005 |
| Mailing Telephone | 6627192005 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MS68NHC | MS | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043578164 | Beverly Ann Johnson | Adult Companion | 5304 Yaroley Ter., Durham, NC 27707 | 2012-04-26 |
| 1336410281 | Beverly S Johnson | Physical Therapy Assistant | 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 | 2012-01-24 |
| 1295973691 | Beverly Berganos Johnson | Physician Assistant | 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 | 2009-01-23 |
| 1942337795 | Beverly J Johnson | Licensed Practical Nurse | 109 Center St, Caledonia, OH 43314-9493 | 2007-02-28 |
| 1053482216 | Beverly Johnson | Speech-Language Pathologist | 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 | 2006-11-10 |
| 1295836492 | Beverly Jean Johnson | Psychologist | 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 | 2006-09-26 |
| 1669489639 | Beverly C Johnson | Family Medicine | 10220 Dixie Beeline Hwy, Guthrie, KY 42234 | 2006-08-02 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1265058028 | Beverly Johnson | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-17 |
| 1003344938 | Beverly R Johnson | Counselor | 2404 Ferrand St Ste 23, Monroe, LA 71201 | 2017-05-23 |
| Street Address |
116 S EDWARD AVENUE |
| City | MOUND BAYOU |
| State | MS |
| Zip Code | 38762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629310487 | Community Adult Day Care | Clinic/Center | 114 S Edwards Avenue, Mound Bayou, MS 38762 | 2013-03-20 |
| 1235482233 | Melvern Scott Jr. | Social Worker | 109 Rayner Rd, Mound Bayou, MS 38762 | 2012-10-16 |
| 1063692770 | Allison Hailman Doyle | Family Medicine | 702 Mlk St, Mound Bayou, MS 38762 | 2007-11-09 |
| 1578785820 | Mound Bayou Public Schools | Registered Nurse | 202 Mlk, Mound Bayou, MS 38762 | 2007-05-03 |
| 1700923836 | Delta Health Center | Clinic/Center | 702 Martin Luther King Rd, Mound Bayou, MS 38762 | 2007-01-30 |
| 1649363656 | Ki M Chang | Internal Medicine | 7165 Getwell Road, Bldg F, Southaven, MS 38762 | 2006-10-02 |
| 1689033706 | North Bolivar Consolidated School District | Local Education Agency (LEA) | 201 Green St, Mound Bayou, MS 38762 | 2016-02-17 |
| 1144398710 | Delta Health Center | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762 | 2006-12-01 |
| 1255545570 | Delta Health Center, Inc. | Clinic/Center | 702 Martin Luther King Road, Mound Bayou, MS 38762-0900 | 2007-05-09 |
| 1104848787 | Delta Health Center | Clinic/Center | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 2006-07-24 |
| Find all providers in zip 38762 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719893 | Reformation, LLC | Hospice Care, Community Based | 5870 Belmont Rd, Hernando, MS 38632-9013 | 2020-10-29 |
| 1629619051 | Daniel Campbell | Hospice Care, Community Based | 721 S Church St, Brookhaven, MS 39601-3811 | 2019-10-07 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1821514175 | Infinity Hospice Care,inc | Hospice Care, Community Based | 110 S Pearl St, Carthage, MS 39051-4132 | 2017-08-18 |
| 1023530904 | Solace Hospice Inc | Hospice Care, Community Based | 215 Highway 26 E, Poplarville, MS 39470-3109 | 2017-07-12 |
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1740719418 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 | 2017-06-07 |
| 1508393646 | Lhcg C, LLC | Hospice Care, Community Based | 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 | 2017-05-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | MOUND BAYOU |
| Zip Code | 38762 |
Please comment or provide details below to improve the information on BEVERLY C 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.