Individual provider Active NPI

Temeka L Johnson

  • Family Medicine Physician
  • Lithia Springs, GA
National Provider Identifier
1316518475
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN150824 Issued in GA
Practice address
1023 Rock Hill Pkwy
Lithia Springs, GA 30122-3636
Phone
(770) 878-2997
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN150824 GA Primary

Addresses

Primary practice location

1023 Rock Hill Pkwy
Lithia Springs, GA 30122-3636

Mailing address

1023 Rock Hill Pkwy
Lithia Springs, GA 30122-3636
Phone (770) 878-2997

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523001857 GA Practitioner - Nurse Practitioner 0143493999 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Medical Consulting, P.C.Group PAC ID 3678589967, 19 clinicians

Practice addresses (Care Compare)

3715 Northside Pkwy NW
Building 2 100
Atlanta, GA 30327-2822
Phone (770) 938-1757

6116 Mableton Pkwy SW
Suite 136
Mableton, GA 30126-4305
Phone (770) 878-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN150824GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Health Source Family Medicine CurrentSince Jun 17, 2020 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Nov 16, 2022 Accepting new patients
Vision Medical Consulting, P.C. Family Medicine CurrentSince May 16, 2022 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3715 Northside Pkwy NW
Ste 2100
Atlanta, GA 30327
Phone (770) 938-1757

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

6116 Mableton Pkwy SW
Ste 136
Mableton, GA 30126
Phone (770) 878-2977

1990 Lakeside Pkwy
Ste 170
Tucker, GA 30084
Phone (770) 938-1757

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1316518475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ROCK HILL PKWY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223636",
            "telephone_number": "770-878-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 ROCK HILL PKWY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223636",
            "telephone_number": "770-878-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TEMEKA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN150824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.