Miek C. Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5933 Issued in GA

Practice address

1008 Atlanta Hwy
Tri-County Health System, Inc.
Warrenton, GA 30828-0312

Phone

(706) 465-3253

Fax

(706) 465-3028

NPI assigned

Nov 12, 2010

Last updated

May 22, 2019By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Urgent MD Healthcare Services, P.C.

  dba Urgent MD, LLC

  • Family Medicine Physician
  • Grovetown, GA
  • NPI 1053482273
  Medicare reassignment
• Tri-County Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Crawfordville, GA
  • NPI 1124294434
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1154622769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-465-3253",
            "fax_number": "706-465-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 ATLANTA HWY",
            "address_2": "TRI-COUNTY HEALTH SYSTEM, INC.",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308280312",
            "telephone_number": "706-465-3253",
            "fax_number": "706-465-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIEK",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higher Living Personal Care Home
• Stephen Dwight Hobby, D.M.D.
• Lushunda M Hurst, P.A.
• Julian Hutchins Sr., M.D.
• Muhammad Talha Jamil, M.B.B.S. M.D
• Tiffany Johnson, FNP
• Jennifer Elaine Kearse, MACCCSLP
• Richard E Melcher, MD
• Peach Medical Management (Warrenton Health and Rehabilitation Center)
• Point of Need, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.