Melanie Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004255 Issued in GA

Practice address

575 Dekalb Industrial Way Ste 103
Decatur, GA 30030-1756

Phone

(404) 296-8511

NPI assigned

Oct 13, 2015

Sex

Female

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Decatur Hand and Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Decatur, GA
  • NPI 1174538607

  Occupational Therapist

  Medicare reassignment NPD
• Decatur Hand Therapy Specialists Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1851506448
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1043681331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DEKALB INDUSTRIAL WAY STE 103",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301756",
            "telephone_number": "404-296-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Sha'Ron Johnson, LPN
• Kinesha Johnson
• Krystal Johnson, LPC
• Leonard Johnson, D.D.S.
• Maria Elizabeth Johnson, M.D.
• Metta Sweet Johnson, M.S.W., L.C.S.W
• Morris Johnson Jr., PT
• Natasha Nicole Johnson, PH.D.
• Nekeisha Johnson
• Rebecca A. Johnson, FNP

• Occupational Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.