Active NPI
Thomas Edward Johnson, D.C.
- Chiropractor
- Conyers, GA
National Provider Identifier
1457423113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005695
- Practice address
- 1809 Honey Creek Commons SE
Conyers, GA 30013-5830 - Phone
- (770) 922-2556
- Fax
- (678) 210-0280
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR005695 | GA | Primary |
Addresses
Primary practice location
1809 Honey Creek Commons SE
Conyers, GA 30013-5830
Mailing address
1809 Honey Creek Commons SE
Conyers, GA 30013-5830
Phone (770) 922-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR005695 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Health Management, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457423113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 HONEY CREEK COMMONS SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300135830",
"telephone_number": "770-922-2556",
"fax_number": "678-210-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 HONEY CREEK COMMONS SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300135830",
"telephone_number": "770-922-2556",
"fax_number": "678-210-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR005695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.