Douglas S Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009559 Issued in GA

Practice address

277 Martin Luther King Jr Blvd Ste 103
Macon, GA 31201-3476

Phone

(478) 722-9865

Fax

(866) 494-6123

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dental Sleep Therapy of Macon LLC

  • General Practice Dentistry
  • Macon, GA
  • NPI 1932929239
  NPD Authorized official
• Practice Equity, LLC

  • General Practice Dentistry
  • Thomaston, GA
  • NPI 1477724219
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1265516538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MARTIN LUTHER KING JR BLVD STE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013476",
            "telephone_number": "478-722-9865",
            "fax_number": "866-494-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MARTIN LUTHER KING JR BLVD STE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013476",
            "telephone_number": "478-722-9865",
            "fax_number": "866-494-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffy Bowers Johnson
• C Emory Johnson Jr., MD
• Carol Johnson, LCSW
• Christina Johnson
• Christy R Johnson, NP
• Glen Ralph Johnson, PHARMD
• Harold Kent Johnson, RPH
• Keith Russell Johnson, M.D.
• Kim Kinard Johnson, RN
• Kwezeta Johnson

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.