Michael Stanley Johnston, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

044500 Issued in GA

Practice address

2191 Northlake Pkwy
Suite 1122
Tucker, GA 30084-4166

Phone

(678) 822-5810

Fax

(678) 822-5811

NPI assigned

Dec 5, 2006

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1427116169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WARRENHALL LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191938",
            "telephone_number": "404-459-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 NORTHLAKE PKWY",
            "address_2": "SUITE 1122",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844166",
            "telephone_number": "678-822-5810",
            "fax_number": "678-822-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "044500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celechia Avadawne Johnson
• Elizabeth Elaine Johnson, CLD
• Moandra Y Johnson, MS, LMFT
• Myochi Johnson
• Raymond Gordon Johnson Jr., DDS
• Christine Rae Jolley, LCSW
• Courtney Jones-Hall, LPC
• Dena T Jones, DC
• Drexele Millian Jones, BCTMB, LMT
• Frank Jones, LMFT

• Pain Medicine Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.