Crissy M. Johnson

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CRISSY M. JOHNSON

Practice address

184 Mossy Oak Cir
North Augusta, SC 29841-3093

Phone

(803) 426-8626

NPI assigned

May 2, 2014

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Crissy Johnson

Title

Service Coordinator

Phone

(803) 426-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Babies Can't Wait Other name

Tax ID family

Montefiore New Rochelle103 organizations share this tax ID, including this one

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1285044024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 MOSSY OAK CIR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413093",
            "telephone_number": "803-426-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MOSSY OAK CIR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413093",
            "telephone_number": "803-426-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISSY M. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CRISSY",
        "authorized_official_title_or_position": "SERVICE COORDINATOR",
        "authorized_official_telephone_number": "803-426-8626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003145394A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Babies Can't Wait",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.