Maria Lana Johnston, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5705 Issued in GA

Practice address

107 Sportsman Club Rd NE
Milledgeville, GA 31061-8787

Phone

(478) 453-0041

Fax

(478) 453-3498

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serenity Wellness Spa LLC

  • Physical Therapist
  • Milledgeville, GA
  • NPI 1265505556
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033249081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY CLUB RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617931",
            "telephone_number": "478-414-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPORTSMAN CLUB RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618787",
            "telephone_number": "478-453-0041",
            "fax_number": "478-453-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARIA",
        "middle_name": "LANA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "5705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika Johnson, LPC
• Cheryl B. Johnson, CRNA
• Sherlonda Evette Johnson, RN
• Andrea J Johnston, RNFA
• Chelsea Renee Johnston
• Stephanie Lee Johnston, LPC
• Anna Valaer Jones
• Benjamin Minter Jones, RPH, PHARM.D.
• Kimberly Monique Jones, APRN
• Nevis Jones

• Physical Therapist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.