Jody M Johnson (NPI# 1588692503, PAC ID# 3274564745) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1588692503 |
| PAC ID by PECOS | 3274564745 |
| Professional Enrollment ID | I20180828002067 |
| Full Name | Jody M Johnson |
| Organization Legal Name | CLHG-AVOYELLES LLC |
| Address |
4239 Hwy 1192 Suite 300 Marksville LA 71351-4772 |
| Phone Number | 3182538611 |
| Gender | M |
| Credential | DO |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8921380528 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190099 | AVOYELLES HOSPITAL |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4239 Hwy 1192, Suite 300, Marksville, LA 71351-4772 | 3182538611 | CLHG-AVOYELLES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CLHG-AVOYELLES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara L Demars | Nurse Practitioner | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| John E Lemoine | Family Medicine | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Warren J Plauche | Family Medicine | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Clara Coutee | Nurse Practitioner | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Street Address |
4239 HWY 1192 SUITE 300 |
| City | MARKSVILLE |
| State | LA |
| Zip | 71351-4772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James L Bordelon Jr. | General Surgery | 4239 Hwy 1192, Suite 300, Marksville, LA 71351-4772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna L Breen | Otolaryngology | 198 Dr Childress Dr, Marksville, LA 71351-0100 | |
| Jessica L Fultz | Clinical Social Worker | Jessica Landry Fultz Lcsw LLC | 221 N Monroe St B, Marksville, LA 71351-2311 |
| Devin R Vermaelen | Chiropractic | 503 N Main St, Marksville, LA 71351-2430 | |
| Bryan C Mccann | General Practice | 424 N Washington St, Marksville, LA 71351-2461 | |
| Darron C. Mccann | Family Medicine | 424 N Washington St, Marksville, LA 71351-2461 | |
| Anastasia Guillory Jeansonne | Nurse Practitioner | Louisiana Health Care Practitioners LLC | 457 W Waddil St, Suite A, Marksville, LA 71351-2619 |
| Sara L Demars | Nurse Practitioner | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| John E Lemoine | Family Medicine | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Warren J Plauche | Family Medicine | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Clara Coutee | Nurse Practitioner | Clhg-avoyelles LLC | 597 Tunica Dr W, Avoyelles Hospital Rural Health Cli, Marksville, LA 71351-2628 |
| Find all physicians in zip 71351 | |||
| City | MARKSVILLE |
| Zip Code | 71351 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MARKSVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jody M Johnson.
| 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.