Christopher Clark Johnson

Primary specialty

DriverTaxonomy code 172A00000X

License

057957208 Issued in GA

Practice address

2448 Highway 411 SE
Fairmount, GA 30139-2914

Phone

(706) 263-0039

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hometown Transit Co.

  • Non-emergency Medical Transport (VAN)
  • Fairmount, GA
  • NPI 1356083661
  NPD Authorized official
• Hometown Transit TN, LLC.

  • Non-emergency Medical Transport (VAN)
  • Nashville, TN
  • NPI 1629706759
  Authorized official Same address or phone

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1245987205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 HIGHWAY 411 SE",
            "city": "FAIRMOUNT",
            "state": "GA",
            "postal_code": "301392914",
            "telephone_number": "706-263-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 HIGHWAY 411 SE",
            "city": "FAIRMOUNT",
            "state": "GA",
            "postal_code": "301392914",
            "telephone_number": "706-263-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "CLARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "GA",
            "license": "057957208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Edwards, LPN095757
• Fairmount Drugs Inc (Fairmount Drugs)
• Fairmount Family Medicine PC
• Stephanie Givens, RN
• Hometown Transit Co.
• Lifetouch Chiropractic
• Richard F Smith, DMD

• Driver in Fairmount, GA
• Providers in Fairmount, GA by specialty
• Driver in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.