Donovan E Johnson (NPI# 1316173875, PAC ID# 6608171426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316173875 |
| PAC ID by PECOS | 6608171426 |
| Professional Enrollment ID | I20170719000447 |
| Full Name | Donovan E Johnson |
| Organization Legal Name | CHOICEONE URGENT CARE OF GWINNETT LLC |
| Address |
2690 Hamilton Mill Rd Suite 100 Buford GA 30519-4105 |
| Phone Number | 4703267300 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951690213 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2690 Hamilton Mill Rd, Suite 100, Buford, GA 30519-4105 | 4703267300 | CHOICEONE URGENT CARE OF GWINNETT LLC |
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6783124321 | GWINNETT PHYSICIAN GROUP,LLC |
| Organization Legal Name | CHOICEONE URGENT CARE OF GWINNETT LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blair Leigh White | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 2745 Loganville Hwy, Loganville, GA 30052-5082 |
| Erica Melling | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 5910 Suwanee Dam Rd, Suite 100, Sugar Hill, GA 30518-5648 |
| Sang Quang Dao | Internal Medicine | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Suite 100, Buford, GA 30519-4105 |
| Olga Kukharchuk | Nurse Practitioner | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Suite 100, Buford, GA 30519-4105 |
| Alysha Shamshudin Jaffer | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 5910 Suwanee Dam Rd, Suite 100, Sugar Hill, GA 30518-5648 |
| Julia Smith | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 2745 Loganville Hwy, Loganville, GA 30052-5082 |
| Stephen B Routt | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 5910 Suwanee Dam Rd, Suite 100, Sugar Hill, GA 30518-5648 |
| Autumn Janee Thomas | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 2745 Loganville Hwy, Loganville, GA 30052-5082 |
| Glenn J Kaplan | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Buford, GA 30519-4105 |
| Street Address |
2690 HAMILTON MILL RD SUITE 100 |
| City | BUFORD |
| State | GA |
| Zip | 30519-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sang Quang Dao | Internal Medicine | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Suite 100, Buford, GA 30519-4105 |
| Olga Kukharchuk | Nurse Practitioner | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Suite 100, Buford, GA 30519-4105 |
| Glenn J Kaplan | Physician Assistant | Choiceone Urgent Care of Gwinnett LLC | 2690 Hamilton Mill Rd, Buford, GA 30519-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James L Purvis | Optometry | Mog Vision Center | 3420 Bufford Dr, Suite C560, Buford, GA 30519 |
| Walter Kalenik | Physical Therapy | 3694 Lake Rabun Ct, Buford, GA 30519-3786 | |
| Steven A Baptiste | Physical Therapy | Pt Solutions of Acworth LLC | 3300 Hamilton Mill Rd, Buford, GA 30519-4083 |
| Danielle Hughey | Nurse Practitioner | Buford Family Practice and Urgent Care Center, P C | 2805 Hamilton Mill Rd, Buford, GA 30519-4110 |
| Alexander E Osowa | Family Medicine | Buford Family Practice and Urgent Care Center, P C | 2805 Hamilton Mill Rd, Buford, GA 30519-4110 |
| Angeline Jordan | Nurse Practitioner | Buford Family Practice and Urgent Care Center, P C | 2805 Hamilton Mill Rd, Buford, GA 30519-4110 |
| Yianna Manolakis | Nurse Practitioner | Buford Family Practice and Urgent Care Center, P.c | 2805 Hamilton Mill Rd, Buford, GA 30519-4110 |
| Alonzo Borja | Chiropractic | 1950 Buford Mill Dr, E, Buford, GA 30519-4388 | |
| Karen Roberts Saturday | Physical Therapy | 3045 Camp Branch Rd, Buford, GA 30519-4460 | |
| Derrick V Badaracco | Optometry | 3290 Buford Dr, Suite B2, Buford, GA 30519-5701 | |
| Find all physicians in zip 30519 | |||
| City | BUFORD |
| Zip Code | 30519 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BUFORD + 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.