Carla D Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002753 Issued in GA

Practice address

101 Oakland Crossing Dr
Leesburg, GA 31763-7228

Phone

(229) 888-4093

Fax

(229) 888-4098

NPI assigned

Dec 19, 2006

Last updated

Apr 6, 2016By 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

Other identifiers 1

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

Locations

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.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Medical Associates of Albany, P.C.

  • Internal Medicine Physician
  • Leesburg, GA
  • NPI 1952396665
  Medicare reassignment
• Family First Medical Associates PC

  • Clinic/Center
  • Albany, GA
  • NPI 1447354642
  NPD (past)
• Ma After-Hours LLC

  • Family Medicine Physician
  • Leesburg, GA
  • NPI 1548187388
  NPD (past)
• Medical Associates of Albany, PC

  • Family Medicine Physician
  • Albany, GA
  • NPI 1710389440
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1578626412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OAKLAND CROSSING DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317637228",
            "telephone_number": "229-888-4093",
            "fax_number": "229-888-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAKLAND CROSSING DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317637228",
            "telephone_number": "229-888-4093",
            "fax_number": "229-888-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARLA",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00600003C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Therapy Solutions, LLC
• JC's Global Solutions Inc
• Jeh Speech & Swallowing Therapy
• Patrina Jimmerson
• April Michelle Johnson, PNP-PC
• Tracy Johnson, NP
• Delphine Cleo Jones, PHARMD, RPH
• Dericka Nicole Jones
• Edward Lane Jones, R.PH.
• Shakira Lemescheve Joyner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.