Douglas T. Johnson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

6115 Issued in GA

Practice address

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936

Phone

(404) 296-5005

Fax

(404) 296-2070

NPI assigned

Aug 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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Georgia Bone & Joint, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newnan, GA
  • NPI 1447276811
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Elmhurst Memorial Healthcare

  dba Elmhurst Clinic

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1114110061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335825",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335936",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "6115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Stephen Johnson, BCBA
• Cheryl Bowman Johnson, LPN
• Christine Johnson, D.O.
• Deborah A Johnson, MSW
• Dedra S Johnson, OT
• Francis Johnson
• Hanna Johnson, LCSW
• Jacqueline Ruth Johnson, M.DIV.
• Janiya Johnson, BSN, RN
• Jermaine Johnson

• Surgical Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.