Chadrika L Johnson, OWNER, CENTER DIRECT

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

1800 Albany St
Brunswick, GA 31520-5901

Phone

(912) 571-7497

NPI assigned

Sep 13, 2020

Last updated

Sep 13, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Oceanhorse Health and Wellness Clinic

  • Primary Care Nurse Practitioner
  • Brunswick, GA
  • NPI 1033724323

  Single Specialty

  NPD

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1952916231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ALTAMA CONNECTOR UNIT 181",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251888",
            "telephone_number": "912-571-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ALBANY ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315205901",
            "telephone_number": "912-571-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHADRIKA",
        "middle_name": "L",
        "credential": "OWNER, CENTER DIRECT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A AT THIS TIME, CONTACT NUMBER",
            "identifier": "9125717497",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jet's Pharmacy II, LLC. (JET's Pharmacy-LTC)
• Jim Lanier, Acsw (Dba) Center for Family Growth
• John E Imhoff MD PC (Imhoff Eye Center)
• John F. Ellenberg, M.D., P.C.
• John K Weaver, DMD PC (Weaver Orthodontics)
• Deborah F Johnson, RN-BSN
• Evelyn Delois Johnson, M.D.
• Jimmy Wallace Johnson Jr.
• Laura Johnson, PA-C
• Mallory Harris Johnson, CRNA

• Clinical Laboratory Director (Non-physician) in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Laboratory Director (Non-physician) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.