Nicole Dashawn Johnson, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

CL0228566 Issued in FL

Practice address

1485 Saint George PL
Conyers, GA 30012-7127

Phone

(770) 688-6382

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1386215267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 SAINT GEORGE PL",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300127127",
            "telephone_number": "770-688-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 SAINT GEORGE PL",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300127127",
            "telephone_number": "770-688-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "middle_name": "DASHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "CL0228566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keniesha Johnson
• Kila Johnson, LMT
• Mary Ann Johnson, OTA
• Michael Martin Johnson, PA-C
• Michelle Anastase Johnson
• Thomas Edward Johnson, D.C.
• Tony Deandre Johnson
• Tashira Jones Hamler, RN
• Ameari Jones, RBT
• Constance Joy Jones, DPT

• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.