Active NPI
Bridget Johnson
- Anesthesiologist Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 4433
- Practice address
- 6605 Abercorn St
St 108
Savannah, GA 31405-5815 - Phone
- (912) 354-5357
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004433 | GA | |
| Anesthesiologist Assistant | 367H00000X | 4433 | GA | Primary |
Addresses
Primary practice location
6605 Abercorn St
St 108
Savannah, GA 31405-5815
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041005000823 | GA | Practitioner - Anesthesiology Assistant | 3274592381 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004433 | GA | MD | Medical Physician Assistant |
| 4433 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SE Georgia Anesthesia, LLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients | |
| Lighthouse Anesthesia LLC | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
8 Stephenson Ave
Savannah, GA 31405
Phone (912) 354-2479
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1306036561
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1164561403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 ABERCORN ST",
"address_2": "ST 108",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055815",
"telephone_number": "912-354-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRIDGET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004433",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "4433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.