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NPI Code Detail

MEDICARE: A'MYA JOHNSON

MEDICARE: A'MYA JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1427916238
Entity Type Code : Individual
Provider Name (Legal Business Name) : A'MYA JOHNSON
Provider Business Mailing Address
First Line : 980 COURTHOUSE RD APT 1623
Second Line :
City : GULFPORT
State : MS
Zip : 39507-4325
Country : US
Telephone Number : 228-274-5292
Fax Number :
Provider Business Practice Location Address
First Line : 7941 CASTLEWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-1953
Country : US
Telephone Number : 228-274-8062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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