Robert Eugene Johnson, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

035071 Issued in GA

Practice address

1707 Meadows LN
Suite C
Vidalia, GA 30474-7200

Phone

(912) 537-3384

Fax

(912) 537-3351

NPI assigned

Nov 15, 2006

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.johnson@hca5.eclinicaldirectplus.com
• Direct secure messaging: robert.johnson@ent.gadirect.net

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.

• First Choice Wellness and Physical Medicine

  • General Practice Physician
  • Savannah, GA
  • NPI 1174705073
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1093887820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MEADOWS LN",
            "address_2": "SUITE C",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747200",
            "telephone_number": "912-537-3384",
            "fax_number": "912-537-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 S Main St",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315130102",
            "country_code": "US",
            "telephone_number": "912-537-3384",
            "fax_number": "912-537-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "035071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Mack James, RD
• Jeremy D. Wood, D.M.D, PC
• Damon Keith Jessup, CRNA
• Jke Counseling and Psychiatric Services LLC
• Johnson Medical Transport
• Jennifer J Jones, FNP
• Hugh Frederick Jordan, D.D.S,
• Diedra Michelle Joseph Baker, MD
• Joseph G Foust MD LLC
• Amber Nobles Joyner, NP

• Otolaryngology Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.