Organization Active NPI

Chandria Lynn Johnson MD PA

  • Obstetrics & Gynecology Physician
  • Milton, FL
National Provider Identifier
1285815662
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME90117 Issued in FL
Legal business name
CHANDRIA LYNN JOHNSON MD PA
Practice address
5950 Berryhill Medical Park Dr
Suite B
Milton, FL 32570
Phone
(850) 983-2238
Fax
(850) 936-5808
NPI assigned
Nov 14, 2007
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Chandria Lynn Johnson
Title
Owner
Phone
(850) 936-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME90117 FL Primary

Addresses

Primary practice location

5950 Berryhill Medical Park Dr
Suite B
Milton, FL 32570

Mailing address

P.O. Box 266
Milton, FL 32572-0277
Phone (850) 983-2238

National Provider Directory

National Provider Directory

Locations

6072 Doctors Park
#203
Milton, FL 32570
Phone (850) 981-0040

8880 Navarre Pkwy
Ste 206
Navarre, FL 32566
Phone (850) 916-8697

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1285815662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 266",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325720277",
            "telephone_number": "850-983-2238",
            "fax_number": "850-936-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 BERRYHILL MEDICAL PARK DR",
            "address_2": "SUITE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "32570",
            "telephone_number": "850-983-2238",
            "fax_number": "850-936-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDRIA LYNN JOHNSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHANDRIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-936-1316"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME90117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.