Mallory Harris Johnson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN239579 Issued in GA

Practice address

3100 Kemble Ave
Brunswick, GA 31520-4211

Phone

(334) 279-1450

Fax

(334) 279-1660

NPI assigned

Feb 25, 2019

Last updated

Aug 29, 2023By 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 names 1

• Mallory Brielle Harris Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Anesthesia Partners LLCGroup PAC ID 5991193088, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Precision Anesthesia Partners LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1083284335
  Medicare reassignment Care Compare group NPD
• Advanced Gynecology PC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Watkinsville, GA
  • NPI 1093296824
  Medicare reassignment NPD
• Advanced Urology Anesthesia, LLC

  • Specialist
  • Snellville, GA
  • NPI 1215365242
  Medicare reassignment NPD
• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Snellville, GA
  • NPI 1073896510
  Medicare reassignment NPD
• Ahs Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Smyrna, GA
  • NPI 1316214604

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Solutions of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Canton, GA
  • NPI 1093035677

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Atlanta Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Cumming, GA
  • NPI 1487928370

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CSP Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1568946812
  Medicare reassignment NPD
• North Fulton Anesthesia Associates PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467445262

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northlake Anesthesia Professionals, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1982637419
  Medicare reassignment NPD
• Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1922402445

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1801353081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686111",
            "telephone_number": "334-279-1450",
            "fax_number": "334-279-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KEMBLE AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204211",
            "telephone_number": "334-279-1450",
            "fax_number": "334-279-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MALLORY",
        "middle_name": "HARRIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN239579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "HARRIS",
            "middle_name": "BRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chadrika L Johnson, OWNER, CENTER DIRECT
• Deborah F Johnson, RN-BSN
• Evelyn Delois Johnson, M.D.
• Jimmy Wallace Johnson Jr.
• Laura Johnson, PA-C
• Mark Robin Johnson, DDS
• Steven G Johnson, M.D.
• Tawana Johnson, RN
• William R Johnson, PH.D.
• Matthew M Johnston, M.D.

• Certified Registered Nurse Anesthetist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.