Individual provider Active NPI

Elizabeth L Johnson, M.D.

  • Internal Medicine Physician
  • Athens, GA
National Provider Identifier
1063428837
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
058041 Issued in GA
Practice address
1000 Hawthorne Ave
Suite H
Athens, GA 30606-2168
Phone
(706) 546-0832
Fax
(706) 369-5068
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 058041 GA Primary

Addresses

Primary practice location

1000 Hawthorne Ave
Suite H
Athens, GA 30606-2168

Mailing address

1000 Hawthorne Ave
Suite H
Athens, GA 30606-2168
Phone (706) 546-0832

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000523 GA Practitioner - Internal Medicine 4486730314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Area Internal MedicineGroup PAC ID 2062493885, 3 clinicians

Practice addresses (Care Compare)

1000 Hawthorne Ave
Suite H
Athens, GA 30606-2168

1000 Hawthorne Ave H
Athens, GA 30606-2168
Phone (706) 546-0832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Area Internal Medicine Internal Medicine CurrentSince Sep 4, 2007 Accepting new patients

Locations

1000 Hawthorne Ave
Ste H
Athens, GA 30606
Phone (706) 546-0832

Interoperability endpoints

  • Direct secure messaging: elizabeth.johnson@tnkmdpc.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1063428837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE H",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-546-0832",
            "fax_number": "706-369-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE H",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-546-0832",
            "fax_number": "706-369-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "058041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.