MONICA JOHNSON
NPI 1689800997
Military Health Care Provider - Independent Duty Medical Technicians in Moody A F B, GA

Active since June 02, 2009
3278 MITCHELL BLVD, MOODY A F B, GA 31699(229) 527-2105(229) 257-3113 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About MONICA JOHNSON

This page provides the complete NPI Profile along with additional information for Monica Johnson, a provider established in Moody A F B, Georgia with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1689800997 assigned on June 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1689800997 Verify this NPI
Provider Name
MONICA JOHNSON
Gender
Female
Entity Type
Individual
Location Address
3278 MITCHELL BLVD MOODY A F B, GA 31699
Location Phone
(229) 527-2105
Location Fax
(229) 257-3113
Mailing Address
6004 SUSAN CIR APT A VALDOSTA, GA 31605
Is Sole Proprietor?
Yes
Enumeration Date
06-02-2009
Last Update Date
06-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY A F B, GA 31699
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Emergency Medical Technician, Intermediate
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Pharmacist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military/U.S. Coast Guard Pharmacy
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Dentist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant (Medical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Psychiatry & Neurology (Psychiatry)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physical Therapist
3278 MITCHELL BLVD, 23D MEDICAL GROUP
MOODY AFB, GA 31699
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Military Health Care Provider (Independent Duty Medical Technicians)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689800997, enumerated as an "individual" on June 02, 2009.

The provider is located at 3278 MITCHELL BLVD MOODY A F B, GA 31699 and the phone number is (229) 527-2105.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.