Versan S Johnson (NPI# 1447549985, PAC ID# 6507176047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1447549985 |
| PAC ID by PECOS | 6507176047 |
| Professional Enrollment ID | I20170316002613 |
| Full Name | Versan S Johnson |
| Organization Legal Name | PRC ASSOCIATES LLC |
| Address |
1671 N Clyde Morris Blvd Suite 100 Daytona Beach FL 32117-5590 |
| Phone Number | 3862742977 |
| Gender | F |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 5890698708 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 | 3862742977 | PRC ASSOCIATES LLC |
| 761 Stirling Ctr Pl, Lake Mary, FL 32746-5700 | 4077327682 | PRC ASSOCIATES LLC |
| Organization Legal Name | PRC ASSOCIATES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas L Giordano | Interventional Pain Management | Prc Associates LLC | 1165 Dunlawton Ave, Suite 101, Port Orange, FL 32127-2924 |
| Arun G Joseph | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Rabinder S Bhatti | Physical Medicine and Rehabilitation | Prc Associates LLC | 761 Stirling Ctr Pl, Lake Mary, FL 32746-5700 |
| Tse C Lee | Interventional Pain Management | Prc Associates LLC | 517 Health Blvd, Daytona Beach, FL 32114-1493 |
| Youssef W Guergues | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Rathi L Joseph | Sports Medicine | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Kavita Sharma | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Sachin Narain | Interventional Pain Management | Prc Associates LLC | 761 Stirling Ctr Pl, Lake Mary, FL 32746-5700 |
| Vinod K Malik | Pain Management | Prc Associates LLC | 517 Health Blvd, Daytona Beach, FL 32114-1493 |
| Jennifer Kundrat | Nurse Practitioner | Prc Associates LLC | 517 Health Blvd, Daytona Beach, FL 32114-1493 |
| Street Address |
1671 N CLYDE MORRIS BLVD SUITE 100 |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32117-5590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arun G Joseph | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Youssef W Guergues | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Rathi L Joseph | Sports Medicine | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Kavita Sharma | Interventional Pain Management | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Maura N Hertzog | Physician Assistant | Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
| Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
| Find all physicians in zip 32117 | |||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | DAYTONA BEACH + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Versan S 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.