CHADRIKA L JOHNSON


Address: 1800 Albany St, Brunswick, GA 31520-5901
Phone: 9125717497

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA N/A AT THIS TIME, CONTACT NUMBER 9125717497 01

Office Location

Street Address 1800 ALBANY ST
City BRUNSWICK
State GA
Zip Code 31520-5901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033724323 Oceanhorse Health and Wellness Clinic Clinic/Center 1800 Albany St, Brunswick, GA 31520-5901 2020-09-13

Providers in the same zip code

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 Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City BRUNSWICK
Zip Code 31520

Improve Information

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Dataset Information

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.

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