MARY ALICE JOHNSON NP-C NPI 1275619108

NPI Information

NPI: 1275619108
Provider Name: MARY ALICE JOHNSON, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
425 W 3RD AVE
LOWER LEVEL
ALBANY, GA
ZIP 31701
Phone: (229) 312-7050
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Mary Alice Johnson, NP-C is a family nurse practitioner in Albany, GA. Mary Alice Johnson, NP-C NPI is 1275619108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 W 3RD AVE
LOWER LEVEL
ALBANY, GA
ZIP 31701-941
Phone: (229) 312-7050
Fax: (229) 312-7055

The NPI 1275619108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 11/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		RN120782	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN120782	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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