Individual provider Active NPI

Joshua Kent Johnston, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1013929520
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002197 Issued in GA
Practice address
550 Peachtree St NE Ste 1500
Atlanta, GA 30308-2248
Phone
(404) 897-6810
Fax
(404) 829-1319
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13677T CA
Optometrist 152W00000X OPT002197 GA Primary

Addresses

Primary practice location

550 Peachtree St NE Ste 1500
Atlanta, GA 30308-2248

Mailing address

1569 Trentwood PL NE
Atlanta, GA 30319
Phone (404) 680-8474

Other identifiers 2

IdentifierTypeStateIssuer
159565798AMedicaidGA
P001185806OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220001055 GA Practitioner - Optometry 9537127766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene B Gabianelli MD and Assoc LLCGroup PAC ID 5193702512, 30 clinicians

Practice addresses (Care Compare)

1100 Johnson Ferry Rd
Suite 108
Atlanta, GA 30342-1732
Phone (404) 531-9988

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13677TCAMDOptometrist
OPT002197GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC CurrentSince Oct 17, 2011 Accepting new patients
Eugene B Gabianelli MD & Assoc LLC Optometrist CurrentSince Oct 17, 2011 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

200 E Ponce de Leon Ave
Ste 200
Decatur, GA 30030
Phone (404) 298-5557

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Fy Rd NE
Ste 140
Sandy Springs, GA 30342
Phone (404) 531-9988

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

500 Ross St
#15404
Pittsburgh, PA 15262

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1013929520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 TRENTWOOD PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "404-680-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082248",
            "telephone_number": "404-897-6810",
            "fax_number": "404-829-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOSHUA",
        "middle_name": "KENT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13677T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159565798A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P001185806",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.