Active NPI
Debora Storey Johnson, MD PC
- Child & Adolescent Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1316112188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 043071
- Legal business name
- DEBORA STOREY JOHNSON, MD PC
- Practice address
- 950 Dannon VW SW
Suite 4101
Atlanta, GA 30331-2160 - Phone
- (404) 699-9600
- Fax
- (404) 696-7100
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debora Storey Johnson, M.D.
- Title
- President and Ceo
- Phone
- (404) 699-9600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 043071 | GA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 043071 | GA | Primary |
Addresses
Primary practice location
950 Dannon VW SW
Suite 4101
Atlanta, GA 30331-2160
Mailing address
950 Dannon VW SW
Suite 4101
Atlanta, GA 30331-2160
Phone (404) 699-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070979307A | Medicaid | GA |
Other names 1
- Cascade Medical Group
National Provider Directory
National Provider DirectoryLocations
950 Dannon Vw SW
Ste 4101
Atlanta, GA 30331
Phone (404) 963-1097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1316112188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 DANNON VW SW",
"address_2": "SUITE 4101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312160",
"telephone_number": "404-699-9600",
"fax_number": "404-696-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 DANNON VW SW",
"address_2": "SUITE 4101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303312160",
"telephone_number": "404-699-9600",
"fax_number": "404-696-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORA STOREY JOHNSON, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DEBORA",
"authorized_official_middle_name": "STOREY",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "404-699-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "043071",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "043071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070979307A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cascade Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.