Johnna Johnson Bridges, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4849 Issued in GA

Practice address

2410 N Oak St
Valdosta, GA 31602-2533

Phone

(229) 241-7546

Fax

(229) 469-5722

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical College of Georgia School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cole Dermatology LLCGroup PAC ID 7719143890, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.72 of 100Reported as group

Quality

88.23

Promoting interoperability

96

Improvement activities

40

Cost

87.49

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cole Dermatology LLC

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1457612491
  Medicare reassignment Care Compare group
• Jpfo, LLC

  • Foot & Ankle Surgery Podiatrist
  • Valdosta, GA
  • NPI 1235458084
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1114007424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022567",
            "telephone_number": "229-244-1400",
            "fax_number": "229-244-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022533",
            "telephone_number": "229-241-7546",
            "fax_number": "229-469-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "JOHNNA",
        "middle_name": "JOHNSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866511489A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mollie Brewer, M.ED. CF-SLP
• Brian C. Griner, MD, LLC
• Issac Pothen Brian, MD
• Baylee Bridgers, DPT
• Ashley Dawn Bridges, CPNP
• Judy A Bridges
• William Jackson Bridges Jr., LMT,CNMT
• Bridgeway Recovery Center, LLC
• Dustin H. Brimblecom, M.D.
• Jasmine Lashae Brinson

• Physician Assistant in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.