Vickie Antionette Johnson
Individual provider Active NPI Case Manager/Care Coordinator · Cuthbert, GA
NPI 1912468596 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1912468596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 90 Villa Nova St
Cuthbert, GA 39840-6221 - Phone
- (229) 366-0906
- Fax
- (229) 732-5561
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | GA | Yes |
Addresses
Primary practice location
90 Villa Nova St
Cuthbert, GA 39840-6221
Mailing address
90 Villa Nova St
Cuthbert, GA 39840-6221
Phone (229) 366-0906
Other providers in Cuthbert, GA
- Sandy Jackson
- Naomi S Jenkins
- Danice Johnson
- Shantress Monique Johnson
- Temperess Johnson
- Bernard Jones
- Jessica Jones
- Katherine Jordan
- Tawanda Denese Lee
- Dorothy Fair Mande
All providers in Cuthbert, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.