Ambrozine Ophelia Trent-Johnney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004798 Issued in GA

Practice address

5910 Hillandale Dr
Suite 301
Lithonia, GA 30058-1884

Phone

(678) 418-2120

Fax

(678) 418-2936

NPI assigned

Feb 19, 2007

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ambrozine.johnney@kharpermd.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  Medicare reassignment Care Compare group
• Dekalb Medical Primary Care Group LLC

  • General Practice Physician
  • Decatur, GA
  • NPI 1104077171
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation
• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Lithonia, GA
  • NPI 1962403865
  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932243136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR",
            "address_2": "SUITE 301",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581884",
            "telephone_number": "678-418-2120",
            "fax_number": "678-418-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR",
            "address_2": "SUITE 301",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581884",
            "telephone_number": "678-418-2120",
            "fax_number": "678-418-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT-JOHNNEY",
        "first_name": "AMBROZINE",
        "middle_name": "OPHELIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "004798",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Med Transport LLC
• Total Renal Care Inc
• Total Women'S Health & Wellness Center, Inc.
• Traditions Health and Rehabilitation Center LLC
• Curtis M Travis
• Martha R Tribbet, O.D.
• Trinity Care Inc
• Tristar Injury Center of Lithonia LLC
• True You Wellness LLC
• Truecare Home Care Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.