Debora Storey Johnson, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

043071 Issued in GA

Practice address

950 Dannon VW SW
Suite 4102
Atlanta, GA 30331-2160

Phone

(404) 699-9600

NPI assigned

Mar 1, 2007

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cool Minds Group, LLC

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
  • NPI 1598070096
  NPD (past) Authorized official
• Debora Storey Johnson, MD PC

  dba Cascade Medical Group

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
  • NPI 1316112188
  Authorized official Same address or phone
• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1013289255
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1205964269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DANNON VW SW",
            "address_2": "SUITE 4102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312160",
            "telephone_number": "404-699-9600",
            "fax_number": "404-696-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANNON VW SW",
            "address_2": "SUITE 4102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312160",
            "telephone_number": "404-699-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORA",
        "middle_name": "STOREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "043071",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "043071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000913228B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dacy Johnson, BCBA
• Daijiah Johnson, CPT
• Damaris Johnson
• David C Johnson, PAAA
• Dayoine Beatrice Johnson, NP
• Decola Johnson, PHARM.D.
• Deniece Nicole Johnson, MD
• Denise Johnson, RD, LD
• Desiree Johnson
• Devan Johnson

• Child & Adolescent Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.