Roy H Johnson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8043 Issued in GA

Practice address

997 Windy Hill Rd. SE
Suite C
Smyrna, GA 30080

Phone

(770) 405-8707

Fax

(770) 405-8709

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Windy Hill Dentistry, LLC

  • Dentist
  • Smyrna, GA
  • NPI 1316324932
  NPD (past) Authorized official
• Windy Hill Dentistry, LLC

  • General Practice Dentistry
  • Smyrna, GA
  • NPI 1558616045
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1043420797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 WINDY HILL RD SE",
            "address_2": "SUITE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802045",
            "telephone_number": "770-405-8707",
            "fax_number": "770-405-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 WINDY HILL RD. SE",
            "address_2": "SUITE C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-405-8707",
            "fax_number": "770-405-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Shantae Johnson, FNP-BC
• Gabrielle Johnson
• Gabrielle Sade Johnson
• Kay Yetunde Johnson, NP
• Lindsey Johnson, LCSW
• Sharon Ava Johnson
• Wytona Johnson, M.A. CCC-SLP
• Yolanda Johnson, RN
• Elizabeth Montgomery Johnston
• Joi Life Wellness Group, LLC

• General Practice Dentistry in Smyrna, GA
• Providers in Smyrna, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.