Sidney P Johnson (NPI# 1992773626, PAC ID# 7315907623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1992773626 |
| PAC ID by PECOS | 7315907623 |
| Professional Enrollment ID | I20041013000102 |
| Full Name | Sidney P Johnson |
| Address |
11 Johnson St Hazlehurst GA 31539-6243 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1966 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111333 | JEFF DAVIS HOSPITAL |
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11 Johnson St, Hazlehurst, GA 31539-6243 |
| Street Address |
11 JOHNSON ST |
| City | HAZLEHURST |
| State | GA |
| Zip | 31539-6243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery M Butler | General Surgery | 11 Johnson St, Hazlehurst, GA 31539-6243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherryl C Copeland | Nurse Practitioner | Dr. Jason R Laney, PC | 209 S Tallahassee St, Hazlehurst, GA 31539-6025 |
| Jason R Laney | Internal Medicine | Dr. Jason R Laney, PC | 209 S Tallahassee St, Hazlehurst, GA 31539-6025 |
| Bonnie P Pittman | Nurse Practitioner | Hospital Authority of Jeff Davis County Georgia | 9 Hester St, Hazlehurst, GA 31539-6323 |
| Jennifer Lynn Lowe | Nurse Practitioner | Family Healthcare Connections, PC | 15 Yarbrough St, Hazlehurst, GA 31539-6341 |
| Kirk A Munsayac | Family Medicine | 22 Cross St, Hazlehurst, GA 31539-6426 | |
| Jason Varnadoe | Optometry | Southern Eyecare PC | 25 Cross St, Hazlehurst, GA 31539-6427 |
| Umamaheswari Jonnalagadda | Family Medicine | 11 Cross St, Hazlehurst, GA 31539-6427 | |
| Michael L Mason | Optometry | Southern Eyecare PC | 25 Cross St, Hazlehurst, GA 31539-6427 |
| Tara D Smith | Nurse Practitioner | Hospital Authority of Jeff Davis County Georgia | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 |
| Anand Dave | Internal Medicine | Hyperbaric and Woundcare Inc | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 |
| Find all physicians in zip 31539 | |||
| City | HAZLEHURST |
| Zip Code | 31539 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HAZLEHURST + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Sidney P 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.