Jeremy Tyler Johnson (NPI# 1346470069, PAC ID# 2860627049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346470069 |
| PAC ID by PECOS | 2860627049 |
| Professional Enrollment ID | I20190205001739 |
| Full Name | Jeremy Tyler Johnson |
| Organization Legal Name | AMERICAN FAMILY CARE INC |
| Address |
7559 Hwy 72 W Madison AL 35758 |
| Phone Number | 2565620850 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739087818 |
| Number of Group Practice Members | 171 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100048 | JAY HOSPITAL |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4550 University Nwdr, Huntsville, AL 35816-3402 | 2567130560 | AMERICAN FAMILY CARE INC |
| 7559 Hwy 72 W, Madison, AL 35758 | 2565620850 | AMERICAN FAMILY CARE INC |
| Organization Legal Name | AMERICAN FAMILY CARE INC |
| Physicians | 189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda Lee Tow | Nurse Practitioner | American Family Care Inc | 20 Hazelwood Dr, Pell City, AL 35125-3382 |
| Shannon Lebakken | Nurse Practitioner | American Family Care Inc | 5235 Rangeline Service Rd S, Suite 101, Mobile, AL 36619-9541 |
| Erin Gray | Nurse Practitioner | American Family Care Inc | 2544 Enterprise Dr, Opelika, AL 36801-6860 |
| Peri Kathryn Bryant | Nurse Practitioner | American Family Care Inc | 30 Holmes Dr, Oxford, AL 36203-2420 |
| Emily Rae Dutton | Nurse Practitioner | American Family Care Inc | 1285 Hwy 72 E, Athens, AL 35611-4403 |
| Colee Tucker Hill | Nurse Practitioner | American Family Care Inc | 410 Sutton Rd, Huntsville, AL 35763-5710 |
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Dawn Sizemore Pryor | Nurse Practitioner | American Family Care Inc | 3000 Cahaba Village Plz, Suite 110, Mountain Brk, AL 35243-5954 |
| Sarah Grace Stephens | Nurse Practitioner | American Family Care Inc | 5892 Trussville Crsng Pkwy, Birmingham, AL 35235 |
| Brittney Nicole Harris | Nurse Practitioner | American Family Care Inc | 1902 S College St, Auburn, AL 36832-6615 |
| Street Address |
7559 HWY 72 W |
| City | MADISON |
| State | AL |
| Zip | 35758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Beck | Nurse Practitioner | American Family Care Inc | 7559 Hwy 72 W, Madison, AL 35758 |
| Richard Todd Clem | Physical Therapy | Agilitas Usa Inc | 7559 Hwy 72 W, Suite 110c, Madison, AL 35758-8815 |
| Elizabeth Roller Smith | Physical Therapy | Agilitas Usa Inc | 7559 Hwy 72 W, Suite 110c, Madison, AL 35758-8815 |
| James Deston | Physical Therapy | Agilitas Usa Inc | 7559 Hwy 72 W, Suite 110c, Madison, AL 35758-8815 |
| Sandra J Carmichael | General Practice | American Family Care Inc | 7559 Hwy 72 W, Madison, AL 35758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Kolb | Family Medicine | 8371 Hwy 72 W, Suite 200, Madison, AL 35758 | |
| Regina M Doody-lundy | Psychiatry | 708 Will Halseyway C, Madison, AL 35758 | |
| Kelly Vazquez | Nurse Practitioner | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Robert Andrew Serio | Pulmonary Disease | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Alicia Vasquez | Nurse Practitioner | Huntsville Hospital Lung Center | 8371 Hwy 72 W, Suite 204, Madison, AL 35758 |
| Brent H Ledford | Certified Registered Nurse Anesthetist (crna) | Huntsville Hospital Anesthesia | 8375 Hwy 72 W, Madison, AL 35758 |
| Charles K Mackenzie | Certified Registered Nurse Anesthetist (crna) | Huntsville Hospital Anesthesia | 8375 Hwy 72 W, Madison, AL 35758 |
| Betsy Lou Houser | Clinical Social Worker | 235 Hughes Rd B, Madison, AL 35758-1142 | |
| Sherman L Connell | Chiropractic | 401 Hughes Rd, Suite 1, Madison, AL 35758-1144 | |
| Kiyo P Holmes | Nurse Practitioner | Advantage Family Care Inc | 300 Hughes Rd, Suite G 2, Madison, AL 35758-1187 |
| Find all physicians in zip 35758 | |||
| City | MADISON |
| Zip Code | 35758 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MADISON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.