Active NPI
Cameron Campbell Johnson, M.D.
- Ophthalmology Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 067743
- Practice address
- 201 Kimberly Way Ste 106
Canton, GA 30114-8009 - Phone
- (678) 381-2020
- Fax
- (678) 381-2015
- NPI assigned
- Feb 27, 2006
- Last updated
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME93228 | FL | |
| Ophthalmology Physician | 207W00000X | 067743 | GA | Primary |
Addresses
Primary practice location
201 Kimberly Way Ste 106
Canton, GA 30114-8009
Mailing address
1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Phone (678) 381-2020
Other practice location 1
20 Glenlake Pkwy
Opthalmology
Atlanta, GA 30328
Phone (404) 365-0966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272941500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Vanderbilt University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 94 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067743 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Buford Eye Surgery Center | Current | Accepting new patients | |
| Roswell Eye Surgery Center, LLC | Current | Accepting new patients | |
| Milan Eye LLC | Ophthalmology | Current | Accepting new patients |
| Canton Eye Surgery Center | Current | Accepting new patients | |
| Woodhams Laser & Lens Implant Center LLC | Past | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients | |
| Ophthalmic Surgeons & Physicians LTD | Ophthalmology | Past | Accepting new patients |
Locations
2555 Westside Pkwy
Ste 300
Alpharetta, GA 30004
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022
201 Kimberly Way
Ste 104
Canton, GA 30114
201 Kimberly Way
Ste 106
Canton, GA 30114
201 Kimberly Way
Ste 200
Canton, GA 30114
970 Sanders Rd
Ste 100
Cumming, GA 30041
270 Walmart Way
Dahlonega, GA 30533
Phone (706) 867-6918
73 Prestige Ln
Ste 201
Dawsonville, GA 30534
1250 Scenic Hwy
Ste 1700
Lawrenceville, GA 30045
Phone (678) 853-7715
3775 Roswell Rd
Ste 175
Marietta, GA 30062
20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247
1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266
1300 Peachtree Industrial
Dallas, TX 75373
Organizations & group practices 8
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.
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
-
- Ambulatory Surgical Clinic/Center
- Canton, GA
- NPI 1992122329
-
dba Roswell Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Marietta, GA
- NPI 1780075861
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1093748527
-
- Ophthalmology Physician
- Tempe, AZ
- NPI 1689648925
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1417923657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244550",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 KIMBERLY WAY STE 106",
"city": "CANTON",
"state": "GA",
"postal_code": "301148009",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
}
],
"practiceLocations": [
{
"address_1": "20 Glenlake Pkwy",
"address_2": "Opthalmology",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30328",
"country_code": "US",
"telephone_number": "404-365-0966",
"fax_number": "352-265-7081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CAMERON",
"middle_name": "CAMPBELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME93228",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "067743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272941500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.