Crystal Johnson-Mann, M.D.
Surgery in Gainesville, FL. Individual provider (NPI-1).
NPI number1760743751
StatusActive
Last updated in NPPESJan 3, 2019
Details
- NPI
- 1760743751
- Entity type
- Individual (NPI-1)
- Name
- Crystal Johnson-Mann
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2012
- Last updated
- Jan 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 0101261806 | VA | Yes |
| 208600000X | Surgery | LL34777 | SC |
Other names
- Crystal Johnson (Former Name)
Practice location
1600 Sw Archer RdGainesville, FL 32610-0109
Phone 352-265-0761
Mailing address
Po Box 9007Charlottesville, VA 22906-9007
Other practice locations
1300 Jefferson Park Ave Fl 4
Charlottesville, VA 22908-8905
Charlottesville, VA 22908-8905
Phone 434-924-2150 · Fax 434-243-9433
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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