NPIMap

Individual provider Active NPI

Troy Edwin Johnson, MD

  • Emergency Medicine Physician
  • Covington, GA
National Provider Identifier
1285611053
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45256 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(800) 532-6151
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45256 GA Primary

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

PO Box 5779
Athens, GA 30604-5779
Phone (706) 310-0381

Other identifiers 1

IdentifierTypeStateIssuer
000792514DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000750 GA Practitioner - Emergency Medicine 4385537844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Clarke Medical Enterprises LLCGroup PAC ID 0547698680, 28 clinicians
Southland Union Emergency Medical Services, LLCGroup PAC ID 8224308770, 26 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Hospital & facility affiliations

  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Union General Hospital Hospital, Blairsville, GA, CCN 110051
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45256GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Clarke Medical Enterprises LLC Emergency Medicine Current Accepting new patients
Southland Union Emergency Medical Services, LLC CurrentSince Feb 1, 2022 Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Jun 20, 2014 Accepting new patients
Athens Clarke Medical Enterprises LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Athens Attentive MD, LLC Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tjohnson2018648@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1285611053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5779",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306045779",
            "telephone_number": "706-310-0381",
            "fax_number": "706-310-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "800-532-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TROY EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "45256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000792514D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.