Individual provider Active NPI

Quinetta Brigette Johnson, MD

  • Maternal & Fetal Medicine Physician
  • Marietta, GA
National Provider Identifier
1376855080
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
97397 Issued in GA
Practice address
699 Church St NE Ste 230
Marietta, GA 30060-1132
Phone
(470) 267-1980
Fax
(470) 986-7054
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 59709 TN
Maternal & Fetal Medicine Physician 207VM0101X 49124 KY
Maternal & Fetal Medicine Physician 207VM0101X 97397 GA Primary
Obstetrics & Gynecology Physician 207V00000X 4301097155 MI
Gynecology Physician 207VG0400X 49124 KY

Addresses

Primary practice location

699 Church St NE Ste 230
Marietta, GA 30060-1132

Mailing address

699 Church St NE Ste 230
Marietta, GA 30060-1132
Phone (470) 267-1980

Other practice location 1

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 515-3500

Other practice location 2

125 E Maxwell St Ste 140
Lexington, KY 40508-2678
Phone (859) 323-0005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address qjohnson534113@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180309002368 KY Practitioner - Obstetrics/Gynecology 8921226846 Reassigns benefits to 3 organizations
I20231017000273 GA Practitioner - Obstetrics/Gynecology 8921226846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1700 Hospital S Dr
Austell, GA 30106-8116

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

619 S 8TH St
Griffin, GA 30224-4260

699 Church St NE
Suite 310
Marietta, GA 30060-1122
Phone (770) 528-0260

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097155MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Kentucky, P.S.C. Obstetrics & Gynecology CurrentSince Jan 22, 2018 Accepting new patients
University of Kentucky CurrentSince Nov 1, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

699 Church St NE
Ste 230
Marietta, GA 30060
Phone (470) 267-1980

125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

125 E Maxwell St
Ste 100
Lexington, KY 40508
Phone (859) 225-1339

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

Organizations & group practices 5

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1376855080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601132",
            "telephone_number": "470-267-1980",
            "fax_number": "470-986-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CHURCH ST NE STE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601132",
            "telephone_number": "470-267-1980",
            "fax_number": "470-986-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033409",
            "country_code": "US",
            "telephone_number": "901-515-3500",
            "fax_number": "901-515-3509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E Maxwell St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405082678",
            "country_code": "US",
            "telephone_number": "859-323-0005",
            "fax_number": "859-323-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUINETTA",
        "middle_name": "BRIGETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "59709",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "49124",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "GA",
            "license": "97397",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301097155",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "49124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qjohnson534113@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "699 Church St NE Ste 230",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.