Charlene Johnson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

049655 Issued in GA

Practice address

2945 Stone Hogan Connector Rd SW
Suite 201
Atlanta, GA 30331-2835

Phone

(404) 349-6758

Fax

(404) 349-6759

NPI assigned

Apr 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Charlene Johnson Brown Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Camp Creek Pediatrics

  • Pediatrics Physician
  • Fayetteville, GA
  • NPI 1891065504
  NPD (past)
• Charlene Johnson MD LLC

  • Medical Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1558525071
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265498687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 VIRGINIA HIGHLANDS",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158233",
            "telephone_number": "770-460-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312835",
            "telephone_number": "404-349-6758",
            "fax_number": "404-349-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "049655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "BROWN",
            "middle_name": "JOHNSON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cathryn B Johnson, LCSW
• Chanda L Johnson, WHNP
• Chandra Faye Johnson, PH.D.
• Chanel Shelton Johnson, RN
• Charity Johnson, BCBA
• Charles Johnson
• Charles E Johnson Jr., M.D.
• Charles L Johnson, DDS
• Cheyenne Bonita Johnson
• Claudette Angella Johnson

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.