Hannah Marie Johnson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003043 Issued in GA

Practice address

4630 N Shallowford Rd Ste B
Dunwoody, GA 30338-6304

Phone

(470) 385-6324

NPI assigned

Jan 15, 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

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1417546227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 JEFFERSON DR APT 622",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303507110",
            "telephone_number": "715-412-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 N SHALLOWFORD RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386304",
            "telephone_number": "470-385-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Hortman DC LLC
• Albert Farah Johary Sr., M.D.
• Marielle Arrieh Johary, M.D.
• John H Eaton D.D.S., P.C.
• Courtney Johnson
• Kaala Cherie Johnson, CNA
• Shantavia Johnson
• Barbara J Jones Evans, LMT
• Janelle Lynn Jones, PHD
• Shundericka Jones

• Athletic Trainer in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.