Miles D. Johnson, M.D.P.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

038817 Issued in GA

Legal business name

MILES D. JOHNSON, M.D.P.C.

Practice address

150 Fiddlers RDG
Fairburn, GA 30213-3484

Phone

(678) 556-9460

Fax

(678) 556-9462

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Miles David Johnson, M.D.P.C.NPI 1568419844

Title

Owner

Phone

(678) 556-9460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miles Johnson, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
  • NPI 1568419844
  NPD Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1427228758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S COBB DR SE",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807809",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FIDDLERS RDG",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302133484",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES D. JOHNSON, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-556-9460",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "038817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.