Alice Olga Johnson, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

21248 Issued in GA

Practice address

550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2209

Phone

(404) 881-1094

Fax

(404) 885-7777

NPI assigned

Nov 22, 2005

Last updated

Mar 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aga, LLC

  • Pharmacy
  • Marietta, GA
  • NPI 1326858143
  NPD (past)
• Aga, LLC

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1659041481
  NPD (past)
• Atlanta Gastroenterology Associates

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1154643096
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1356324479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1620",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-885-7701",
            "fax_number": "404-885-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-881-1094",
            "fax_number": "404-885-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICE",
        "middle_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "21248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00225739C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raushannah N. Johnson-Verwayne, PSY. D.
• Abbie Hope Johnson, PA-C
• Alan R Johnson, MD
• Alana Marie Johnson
• Alcuin Q Johnson, PHD
• Alma Bangs Johnson, R.PH.
• Amanda Lynn Johnson, MS
• Amber Johnson
• Amber Thompson Johnson, MS, RD, LD
• Amira J Johnson

• Gastroenterology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.