Organization Active NPI

Michael R. Johnston, D.C., P.C.

  • Chiropractor
  • McDonough, GA
National Provider Identifier
1336358530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6951 Issued in GA
Legal business name
MICHAEL R. JOHNSTON, D.C., P.C.
Practice address
15 Jonesboro St # B
McDonough, GA 30253-3116
Phone
(678) 272-6512
Fax
(678) 272-6514
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Reu Johnston, D.C.
Title
Owner
Phone
(678) 272-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6951 GA Primary

Addresses

Primary practice location

15 Jonesboro St # B
McDonough, GA 30253-3116

Mailing address

PO Box 1836
McDonough, GA 30253-1700
Phone (678) 272-6512

National Provider Directory

National Provider Directory

Locations

1075 Main St
Forest Park, GA 30297
Phone (404) 364-0100

15 Jonesboro St
McDonough, GA 30253
Phone (678) 272-6512

15 Jonesboro St
Ste B
McDonough, GA 30253
Phone (678) 272-6512

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336358530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1836",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531700",
            "telephone_number": "678-272-6512",
            "fax_number": "678-272-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JONESBORO ST # B",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533116",
            "telephone_number": "678-272-6512",
            "fax_number": "678-272-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. JOHNSTON, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "REU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-272-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.