Shakevia V Johnson (NPI# 1104236850, PAC ID# 5092008052) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1104236850 |
| PAC ID by PECOS | 5092008052 |
| Professional Enrollment ID | I20191115001310 |
| Full Name | Shakevia V Johnson |
| Organization Legal Name | MAURY REGIONAL HOSPITAL |
| Address |
1222 Trotwood Ave Columbia TN 38401-6404 |
| Phone Number | 9315404140 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4688569718 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050228 | SAN FRANCISCO GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1222 Trotwood Ave, Columbia, TN 38401-6404 | 9315404140 | MAURY REGIONAL HOSPITAL |
| 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 | 9315404140 | MAURY REGIONAL HOSPITAL |
| Organization Legal Name | MAURY REGIONAL HOSPITAL |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Octavia L Graham | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Nicky D Edwards | Nurse Practitioner | Maury Regional Hospital | 617 W Main St, Hohenwald, TN 38462-1355 |
| Paula A Cole | Nurse Practitioner | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Andrew K Nielsen | Internal Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Thomas W Farmer | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Charles A Ball | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Miranda D Wood | Physician Assistant | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Lucas Wilmore | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Loretta Davidson | Nurse Practitioner | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Brook Helmer | Family Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Street Address |
1222 TROTWOOD AVE |
| City | COLUMBIA |
| State | TN |
| Zip | 38401-6404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick T Davis | General Surgery | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6410 |
| Phillip A Rodriguez | Obstetrics/gynecology | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 601, Columbia, TN 38401-6410 |
| Andrew K Nielsen | Internal Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Amy E Vertrees | General Surgery | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6410 |
| Daniel Davidson Oxley | General Surgery | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6410 |
| Miranda D Wood | Physician Assistant | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Michael Gregory Lester | Internal Medicine | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 503, Columbia, TN 38401-6422 |
| Loretta Davidson | Nurse Practitioner | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Brook Helmer | Family Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Mark A Cobb | Neurosurgery | Advanced Diagnostic Imaging PC | 1222 Trotwood Ave, Suite 302, Columbia, TN 38401-6405 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin B Pinkston | Family Medicine | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Mark H Messenger | Hematology/oncology | Maury Regional Medical Group Inc | 808 S James Campbell Blvd, Columbia, TN 38401 |
| Thomas W Farmer | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Lori S James | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Charles A Ball | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Ben A Gardner | Internal Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Gina B Graves | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Haley Kimbrell | Nurse Practitioner | Advanced Diagnostic Imaging PC | 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 |
| Leslie A Fort | Nurse Practitioner | Nashville Pain and Wellness Center Pllc | 1040 N James Campbell Blvd, Suite 108, Columbia, TN 38401 |
| Richard J Muench | Pain Management | Sun-young, Pllc | 1040 N James Campbell Blvd, Suite 108, Columbia, TN 38401 |
| Find all physicians in zip 38401 | |||
| City | COLUMBIA |
| Zip Code | 38401 |
| Specialty | PSYCHIATRY |
| City + Specialty | COLUMBIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Shakevia V 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.