Individual provider Active NPI

Altee S Johnson, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1386869410
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60387 Issued in GA
Practice address
101 Yorktown Dr
Suite110
Fayetteville, GA 30214-1578
Phone
(678) 364-5400
Fax
(678) 364-5399
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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 60387 GA Primary

Addresses

Primary practice location

101 Yorktown Dr
Suite110
Fayetteville, GA 30214-1578

Mailing address

101 Yorktown Dr
Suite110
Fayetteville, GA 30214-1578
Phone (678) 364-5400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000623 GA Practitioner - Family Practice 4385836154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

138 N College St
Hamilton, GA 31811-6031
Phone (762) 267-0309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60387GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 2, 2025 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 2, 2025 Accepting new patients
Piedmont Medical Care Corporation Family Medicine PastSince Dec 29, 1995 Accepting new patients
Piedmont Providers LLC PastSince Mar 27, 2006 Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 110
Fayetteville, GA 30214
Phone (678) 364-5400

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

138 N College St
Hamilton, GA 31811
Phone (478) 776-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: altee.johnson.1@8042.direct.athenahealth.com
  • Direct secure messaging: ms_ajohn761@landmarkhealth-direct.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1386869410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR",
            "address_2": "SUITE110",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141578",
            "telephone_number": "678-364-5400",
            "fax_number": "678-364-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR",
            "address_2": "SUITE110",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141578",
            "telephone_number": "678-364-5400",
            "fax_number": "678-364-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALTEE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "60387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.