Individual
CHERI K. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 VILLAGE LAKE DR, POOLER, GA 31322-2147
(912) 349-5165
Mailing address
457 BUCKNER CIR, ANNISTON, AL 36205-4413
(912) 704-7367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003850
GA
363A00000X
Physician Assistant
Primary
PA.930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980PA
—
SC
05
—
100002280F
—
GA
05
—
100002280G
—
GA
01
—
582203199-004
HMHS TRICARE SOUTH - SAVANNAH
—
01
—
582203199-009
HMHS TRICARE SOUTH - POOLER
—
01
—
P00853761
RR MEDICARE
GA
Enumeration date
10/11/2006
Last updated
09/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us