JOHNNA JOHNSON BRIDGES (PA-C) – Physician Assistant, NPI 1114007424
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for JOHNNA JOHNSON BRIDGES (PA-C)
2412, North Oak Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316022567
Phone: (229) 244-1400
Fax: (229) 244-5512
Type: Location
3294 N OAK STREET EXTENSION
VALDOSTA, GA 31605
Phone: (229) 241-1188
Fax: (229) 245-7106
Type: Location
2410 N OAK ST
VALDOSTA, GA 316022533
Phone: (229) 241-7546
Fax: (229) 469-5722
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $1,816.
Total Amount is formed as General ($1,816) + Research ($0) + Ownership ($0) = $1,816.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($297).
Total Amount
$1,816
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,816
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061102000139 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | GA | |
| Nurse Practitioner | GA | |
| - | GA |
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