Kevin Fountain Johnson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

61461 Issued in GA

Practice address

1120 15TH St
Ba-1414
Augusta, GA 30912-0004

Phone

(706) 721-2076

NPI assigned

Jul 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of South Carolina School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Georgia RadiologyGroup PAC ID 9032103296, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hamilton Medical Center Hospital, Dalton, GA, CCN 110001
• Adventhealth Murray Hospital, Chatsworth, GA, CCN 110050
• Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjohnson18689@hhcs.direct-ci.com

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.

• North Georgia Radiology

  • Specialist
  • Dalton, GA
  • NPI 1922193044
  Medicare reassignment Care Compare group NPD
• Outpatient Imaging, LLC

  • Diagnostic Radiology Physician
  • Peachtree City, GA
  • NPI 1053386219
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System Georgia, Inc.

  • General Acute Care Hospital
  • Chatsworth, GA
  • NPI 1750776571
  Care Compare affiliation
• Adventist Health System Georgia, Inc.

  • General Acute Care Hospital
  • Calhoun, GA
  • NPI 1760402424
  Care Compare affiliation
• Blue Ridge Georgia Hospital Company LLC

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • General Acute Care Hospital
  • Dalton, GA
  • NPI 1528056066
  Care Compare affiliation
• Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
  • NPI 1760645782
  Care Compare affiliation
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  Hospital

  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1215137385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "BA-1414",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "BA-1414",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "FOUNTAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL29904",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "61461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johrdan Johnson, CLD CMHT
• Judah Charles Johnson, P.A.
• Katherine Billman Johnson, CRNA
• Katrina Johnson
• Katwana Johnson
• Lacreasha Johnson, LMSW
• Laney Johnson, CPNP-PC
• Lanora Johnson
• Lindsey G Johnson, AU.D.
• Martha Johnson

• Diagnostic Radiology Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.