William Johnson (NPI# 1578924130, PAC ID# 3678865367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1578924130 |
PAC ID by PECOS | 3678865367 |
Professional Enrollment ID | I20160718001271 |
Full Name | William Johnson |
Organization Legal Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
Address |
6 Doctors Cir Suite 1 Supply NC 28462-6358 |
Phone Number | 9105676194 |
Gender | M |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163409558 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
341 -a Whiteville Rd, Shallotte, NC 28470-4507 | 9107548731 | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
6 Doctors Cir, Suite 1, Supply, NC 28462-6358 | 9105676194 | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
Organization Legal Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Witthar | Clinical Social Worker | Tri County Community Health Council Inc | 341 -a Whiteville Rd, Shallotte, NC 28470-4507 |
Tory Graham | Clinical Social Worker | Tri County Community Health Council Inc | 306 Beaman St, Clinton, NC 28328-2908 |
Lynn Zink | Nurse Practitioner | Tri County Community Health Council Inc | 4311 Old Ocean Hwy, Bolivia, NC 28422-8637 |
Thanh T Tran | Physician Assistant | Tri County Community Health Council Inc | 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504-8034 |
April N Burks | Family Medicine | Tri County Community Health Council Inc | 500 S Fayetteville St, Salemburg, NC 28385-8406 |
Keven Mctavish Smeekens | Nurse Practitioner | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
Tina T Bean | Nurse Practitioner | Tri County Community Health Council Inc | 194 Tomahawk Hwy, Harrells, NC 28444-9765 |
Mashelle B Bradford | Family Medicine | Tri County Community Health Council Inc | 16526 Nc Hwy 87 W, Tar Heel, NC 28392-8608 |
Richelle Bangi | Physician Assistant | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
Cathy C Belk | Family Medicine | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
Street Address |
6 DOCTORS CIR SUITE 1 |
City | SUPPLY |
State | NC |
Zip | 28462-6358 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan M Glaser | Orthopedic Surgery | Novant Medical Group Inc | 6 Doctors Cir, Suite 5, Supply, NC 28462-6358 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rita M Desimone | Occupational Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Benjamin Clark | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Mary F Stoker | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Thomas Lair | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Kurt Kildow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Scott Thomas | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Brittainy R Edwards Kidlow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Kathleen May Franzen | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Vaughn Leigh Moore | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
Erin Brooke Bostic | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Supply, NC 28462-0001 |
Find all physicians in zip 28462 |
City | SUPPLY |
Zip Code | 28462 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SUPPLY + NURSE PRACTITIONER |
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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.