Danice Johnson
Individual provider Active NPI Community Health Worker · Cuthbert, GA
NPI 1124439005 · NPPES record last updated May 14, 2014
Key facts
- NPI
- 1124439005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 119 Clebourne Street
Cuthbert, GA 39840-0177 - Phone
- (229) 732-3981
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
119 Clebourne Street
Cuthbert, GA 39840-0177
Mailing address
PO Box 177
Cuthbert, GA 39840-0177
Phone (229) 732-3981
Other providers in Cuthbert, GA
- Hospital Authority of Randolph County
- J Larry Pritchett OD PC
- Sabrina Devon Jackson
- Sandy Jackson
- Naomi S Jenkins
- Shantress Monique Johnson
- Temperess Johnson
- Vickie Antionette Johnson
- Bernard Jones
- Jessica Jones
All providers in Cuthbert, GA · Community Health Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.