Samuel Andrew Johnson, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

54909 Issued in GA

Practice address

55 Whitcher St NE
Suite 460
Marietta, GA 30060-1155

Phone

(770) 427-7389

Fax

(770) 427-1492

NPI assigned

Apr 20, 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

Other identifiers 23

Electronic endpoints 1

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

NephrologyAlso: Internal Medicine

Education

Temple University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Vascular Services SouthwestGroup PAC ID 0446502918, 13 clinicians

Georgia Kidney Associates, Inc.Group PAC ID 1951399799, 16 clinicians

Preferred Vascular Services Northwest LLCGroup PAC ID 1850552142, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Renal Care Center of North Georgia Bma Dialysis facility, Canton, GA, CCN 112551
• Amedisys Northwest Home Health Home health agency, Jasper, GA, CCN 117064
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
• Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score

93.33 of 100Reported as individual

Quality

66.67

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: samuel.johnson@gka.gadirect.net
• Direct secure messaging: preferredmedicalgroup.samueljohnson@121186.advancedmd-direct.com
• Direct secure messaging: samueljohnson@georgiakid.allscriptsdirect.net
• Direct secure messaging: northwestatlantavascularcare.samueljohnson@142085.advancedmd-direct.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.

• Georgia Kidney Associates, Inc.

  • Specialist
  • Marietta, GA
  • NPI 1932183654
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Northwest, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1598037822
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southwest

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1790285229
  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Macon LLC

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1437659455
  Medicare reassignment NPD
• Preferred Vascular Services Northeast

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1780184218
  Medicare reassignment NPD
• Preferred Vascular Services Southeast LLC

  • Vascular Surgery Physician
  • Lithonia, GA
  • NPI 1861992976
  Medicare reassignment NPD
• Ecc Hospitalist Services PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1710108170
  NPD (past)
• Mount Lassen Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cartersville, GA
  • NPI 1730598590
  NPD (past)
• Apogee Medical Group South Carolina

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1619028545
  NPD (past)
• Piedmont Pulmonology, LLC

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1942488903
  NPD (past)
• York Physician Services PC

  • Hospitalist Physician
  • Rock Hill, SC
  • NPI 1588898795
  NPD (past)

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

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Dialysis facility

  Care Compare affiliation Name & address match
• Amedisys Northwest, L.L.C.

  • Home Health Agency
  • Jasper, GA
  • NPI 1588612188
  Care Compare affiliation
• Cobb Hospital, Inc

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  Care Compare affiliation
• Kennestone Hospital, Inc.

  • General Acute Care Hospital
  • Marietta, GA
  • NPI 1649248626
  Care Compare affiliation
• Kennestone Hospital, Inc.

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1225255128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WHITCHER STREET",
            "address_2": "SUITE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601155",
            "telephone_number": "770-427-7389",
            "fax_number": "770-427-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE",
            "address_2": "SUITE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601155",
            "telephone_number": "770-427-7389",
            "fax_number": "770-427-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMUEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "54909",
            "primary": true
        }
    ],
    "identifiers": [
        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548D",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "003123548G",
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        },
        {
            "code": "05",
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            "identifier": "003123548J",
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        },
        {
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            "code": "05",
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            "issuer": null,
            "identifier": "003123548U",
            "state": "GA"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "003123548V",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "54909",
            "state": "GA"
        },
        {
            "code": "05",
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            "identifier": "003123548E",
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        {
            "code": "05",
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            "code": "05",
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            "issuer": null,
            "identifier": "003123548M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548S",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548L",
            "state": "GA"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "003123548R",
            "state": "GA"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123548T",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "29879",
            "state": "SC"
        },
        {
            "code": "05",
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        {
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            "identifier": "003123548Q",
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SAMUELJOHNSON@GEORGIAKID.ALLSCRIPTSDIRECT.NET",
            "affiliation": "N",
            "address_1": "55 Whitcher St NE",
            "address_2": "Suite 460",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quinetta Brigette Johnson, MD
• Rachel Marie Johnson, MD
• Raymond Lee Johnson II
• Resnee Johnson
• Ryan Paul Johnson, APRN, AGACNP-BC
• Terra Johnson, LMHC
• Tosha Cawanna Johnson, LCSW
• Vicia Johnson
• Johnson'S Pickup & Delivery
• Johnson&Johnson Transportation of Georgia LLC

• Nephrology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.