FRAN MAUREEN JOHNSON (NPI# 1902397672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902397672 |
| Entity Type | Individual |
| Full Name | FRAN MAUREEN JOHNSON |
| Practice Address |
100 Mimosa Dr Thomasville GA 31792-6676 |
| Mailing Address |
4618 Blackwater Dr Valdosta GA 31602-5030 |
| Practice Telephone | 2292285500 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MIMOSA DR |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597753 | Timothy G Grayson | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2005-12-06 |
| 1619336898 | Archbold Medical Group, Inc. | Urology | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2016-02-17 |
| 1568862068 | Bianca Kierce | Nurse Practitioner | 100 Mimosa Dr, Third Floor, Thomasville, GA 31792-6676 | 2014-09-03 |
| 1871929364 | Leslie C. Stanaland | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2013-09-17 |
| 1619242781 | Krystyn Riddle | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2012-03-21 |
| 1649543497 | Kelly M Ledger | Nurse Practitioner | 100 Mimosa Dr, 2nd Floor, Thomasville, GA 31792-6676 | 2012-02-09 |
| 1205119005 | Ivey E. Allen | Physician Assistant | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-09-28 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1760771356 | Mary Kathryn Hanisee | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-04-04 |
| 1376832261 | Cianna Pender | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391556 | James T Williams Jr. | Physician Assistant | 1650 Liberty Dr Ste 100, Thomasville, NC 27360-5375 | 2018-10-11 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1225339815 | Stephanie M Thompson | Physician Assistant | 100 Mimosa Dr Fl 3, Thomasville, GA 31792-6676 | 2010-11-12 |
| 1497088751 | John Scott Garmon | Physician Assistant | 1102 Smith Ave Ste M, Thomasville, GA 31792-5740 | 2009-09-17 |
| 1497942858 | Robert Michael Donovan | Physician Assistant | 3851 Ga Highway 122, Thomasville, GA 31757 | 2007-10-01 |
| 1164560470 | Lauren Powell Musgrove | Physician Assistant | 505 Gordon Ave, Thomasville, GA 31792-6645 | 2007-02-01 |
| 1326034505 | Stanley Bruce Allen | Physician Assistant | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2005-09-23 |
| 1558357087 | Jennifer Lynn Delarber | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2005-09-20 |
| 1326033937 | Franklin R Everhart | Physician Assistant | 611 Randolph St, Thomasville, NC 27360-5126 | 2005-09-20 |
| 1881291953 | Holley H Murray | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792-4875 | 2020-10-02 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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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.