Active NPI
Thomas Bradford Johns, M.D.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1124197686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 043833
- Practice address
- 6100 Lake Forrest Dr
Ste 450
Atlanta, GA 30328-3837 - Phone
- (770) 766-7006
- Fax
- (678) 713-2555
- NPI assigned
- Nov 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 043833 | GA | Primary |
Addresses
Primary practice location
6100 Lake Forrest Dr
Ste 450
Atlanta, GA 30328-3837
Mailing address
2150 Peachford Road
Suite R
Atlanta, GA 30338
Phone (770) 455-0261
Other practice location 1
4270 Ramey Ct
Peachtree Corners, GA 30092-1316
Phone (404) 791-4448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000810928C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1124197686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PEACHFORD ROAD",
"address_2": "SUITE R",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-455-0261",
"fax_number": "678-209-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 LAKE FORREST DR",
"address_2": "STE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283837",
"telephone_number": "770-766-7006",
"fax_number": "678-713-2555"
}
],
"practiceLocations": [
{
"address_1": "4270 Ramey Ct",
"address_purpose": "LOCATION",
"city": "Peachtree Corners",
"state": "GA",
"postal_code": "300921316",
"country_code": "US",
"telephone_number": "404-791-4448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNS",
"first_name": "THOMAS",
"middle_name": "BRADFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "043833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000810928C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Enoch Abilash Johnmarie
- Anushka Christine Johnpulle, LCSW, ACM-SW
- Johns Creek Obstetrics & Gynecology, P.C.
- Charity Lee Johns, M.D.
- Robert A Johns II, MD
- Carl R Johnsey Jr., O.D.
- Shenika Johnson-Giffendan, RN
- Elnora Johnson-Penn, LAPC, NCC
- Raushannah N. Johnson-Verwayne, PSY. D.
- Abbie Hope Johnson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.