Chelsea Elizabeth Johnson, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN015821 Issued in GA

Practice address

4405 N Stadium Dr Ste a
Columbus, GA 31909-1884

Phone

(334) 749-3436

Fax

(334) 759-6363

NPI assigned

Apr 2, 2015

Last updated

Jul 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Elizabeth Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2022 through Mar 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Oral & Facial Surgery of East Alabama, LLC

  dba Oral & Facial Surgery of West Georgia

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, GA
  • NPI 1225543515
  NPD
• Ofs, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, AL
  • NPI 1497997795
  NPD
• Ofs-Ea, LLC

  dba OFS East Alabama

  • Oral and Maxillofacial Surgery (Dentist)
  • Opelika, AL
  • NPI 1427821909
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1497140719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N DEAN RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304027",
            "telephone_number": "334-749-3436",
            "fax_number": "334-759-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 N STADIUM DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091884",
            "telephone_number": "334-749-3436",
            "fax_number": "334-759-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE",
            "address_2": "Building B, Suite 2300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368304027",
            "country_code": "US",
            "telephone_number": "334-749-3436",
            "fax_number": "334-759-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN015821",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MITCHELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlene Johnson
• Beatrice Johnson
• Belinda Johnson, LCSW
• Brandilyn Johnson, NP-C
• Charlene Johnson, LPC
• Clifton Johnson, DDS
• Connie Johnson
• Courtney Johnson
• Courtney Johnson
• Courtney Nicole Johnson, PT

• Oral and Maxillofacial Surgery (Dentist) in Columbus, GA
• Providers in Columbus, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.