Robert William Johnson, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

015209 Issued in GA

Practice address

1350 Walton Way
Wound and Hyperbaric
Augusta, GA 30901-2612

Phone

(706) 774-7242

Fax

(706) 774-7243

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Charles G.McClure,M.D.,PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1841472180
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1467450742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31258",
            "address_2": "ATTN. CONTRACT PHYSICIAN SERVICES",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309033058",
            "telephone_number": "706-828-2365",
            "fax_number": "706-774-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "address_2": "WOUND AND HYPERBARIC",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-7242",
            "fax_number": "706-774-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "015209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000176074C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G15209",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Johnson, M.D.
• Nick Jason Johnson, COTA
• Pamela Johnson
• Princessa Johnson, MD
• Ray Edward Johnson, M.D.
• Savannah Johnson
• Scott Bradley Johnson
• Shakeitrice Stokes Johnson, MA, CCC-SLP
• Shaneka Johnson
• Shauntae McLamore Johnson, PHYSICIAN ASST CERTI

• Vascular Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Vascular Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.