Active NPI
Ambreia Johnson
- Phlebotomy Technician
- Sandersville, GA
National Provider Identifier
1952006991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 23691-164-537-0743
- Practice address
- 112 Malone St
Sandersville, GA 31082-1738 - Phone
- (478) 412-3428
- NPI assigned
- Mar 31, 2023
- Last updated
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 23691-164-537-0743 | GA | Primary |
Addresses
Primary practice location
112 Malone St
Sandersville, GA 31082-1738
Mailing address
112 Malone St
Sandersville, GA 31082-1738
Phone (478) 412-3428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23691-164-537-0743 | GA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1952006991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MALONE ST",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821738",
"telephone_number": "478-412-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MALONE ST",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821738",
"telephone_number": "478-412-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMBREIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "GA",
"license": "23691-164-537-0743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandersville, GA
- Hospital Authority of Washington County (Washington County Surgicial Services)
- Hospital Authority of Washington County (Childrens Healthcare Center of Sandersville)
- Bethaney Elizabeth Hughes
- Leilani Hunt
- Jenkins County Hospital LLC (Optim Medical Center - Jenkins)
- Darlene Machele Johnson, RN
- Heather Johnson, LPTA
- Julius Jones, LMSW
- Lauren Wells Kent, SLP
- Kyla Megan Kitchens, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.