Angela Pernell Johnson, PTA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

001616 Issued in GA

Practice address

2249 Vinson Hwy SE
Milledgeville, GA 31061-4807

Phone

(478) 445-6829

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1730952250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PERSIMMON TRL",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310876624",
            "telephone_number": "478-278-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 VINSON HWY SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614807",
            "telephone_number": "478-445-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "PERNELL",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "001616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H Ferguson DDS PC
• John Wallace Wright,DPM,PC
• John Wesley King, Jr.
• Olusegun Sonny John, MD
• Latonja Q. Johnson-Young, FNP
• Angelika Johnson, LPC
• Cheryl B. Johnson, CRNA
• Sherlonda Evette Johnson, RN
• Andrea J Johnston, RNFA
• Chelsea Renee Johnston

• Geriatric Physical Therapist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Geriatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.