CHADRIKA L JOHNSON (NPI# 1952916231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952916231 |
Entity Type | Individual |
Full Name | CHADRIKA L JOHNSON |
Credential | OWNER, CENTER DIRECT |
Practice Address |
1800 Albany St Brunswick GA 31520-5901 |
Mailing Address |
139 Altama Connector Unit 181 Brunswick GA 31525-1888 |
Practice Telephone | 9125717497 |
Mailing Telephone | 9125717497 |
Enumeration Date | 2020-09-13 |
Last Update Date | 2020-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | N/A AT THIS TIME, CONTACT NUMBER | 9125717497 | 01 |
Street Address |
1800 ALBANY ST |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-5901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724323 | Oceanhorse Health and Wellness Clinic | Clinic/Center | 1800 Albany St, Brunswick, GA 31520-5901 | 2020-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 247ZC0005X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Pathology |
Specialization | Clinical Laboratory Director, Non-physician |
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851917553 | Garland Edward Pendergraph | Pathology | 1974 Old Valdosta Rd, Ray City, GA 31645-7139 | 2020-06-19 |
1982258315 | Vision Consulting Partners, LLC | Pathology | 5526 Old National Hwy Ste C, College Park, GA 30349-3212 | 2019-07-24 |
1538578893 | Lisa Lee | Pathology | 102 Jessica Ct, Byron, GA 31008-3932 | 2014-08-11 |
1760657894 | Ross Joseph Molinaro | Pathology | 550 Peachtree St Room 1239, Emory Crawford Long Hospital, Atlanta, GA 30308 | 2008-04-29 |
1346851417 | Tatiana Tvrdik | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-08-12 |
1629340526 | Michael R. Rossi | Pathology | Emory University Hospital, Department of Pathology, Room H185, Atlanta, GA 30322-0001 | 2012-02-08 |
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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.