Active NPI
Ray Edward Johnson, M.D.
- Interventional Cardiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 27647
- Practice address
- 1348 Walton Way
Suite 5100
Augusta, GA 30901-5104 - Phone
- (706) 724-8611
- Fax
- (706) 724-6202
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 017835 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 27647 | GA | Primary |
Addresses
Primary practice location
1348 Walton Way
Suite 5100
Augusta, GA 30901-5104
Mailing address
1348 Walton Way
Suite 5100
Augusta, GA 30901-5104
Phone (706) 724-8611
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00222384A | Medicaid | GA | |
| 2089836 | Other | GA | AETNA HMO |
| 2671375-002 | Other | GA | CIGNA |
| 4115000 | Other | GA | AETNA PPO |
| G17835 | Medicaid | SC | |
| 237923 | Other | GA | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Mississippi School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
95 Collier Rd NW
Suite 2055
Atlanta, GA 30309-1721
Phone (404) 605-5699
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017835 | GA | MD | Cardiovascular Disease Physician |
| 27647 | GA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Cardiology Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| University Cardiology Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Associates of Augusta, PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
95 Collier Rd NW
Ste 2055
Atlanta, GA 30309
Phone (404) 355-9515
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Cardiovascular Disease Physician
- Augusta, GA
- NPI 1902198369
-
- Cardiovascular Disease Physician
- Augusta, GA
- NPI 1053344341
-
- Cardiovascular Disease Physician
- Augusta, GA
- NPI 1699067629
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
-
- General Acute Care Hospital
- Thomson, GA
- NPI 1982600540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1124046545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "SUITE 5100",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-724-8611",
"fax_number": "706-724-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 WALTON WAY",
"address_2": "SUITE 5100",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015104",
"telephone_number": "706-724-8611",
"fax_number": "706-724-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RAY",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "017835",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "27647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00222384A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2089836",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2671375-002",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4115000",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G17835",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "237923",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.