Active NPI
Ronald E. Johnson
- Peer Specialist
- Dublin, GA
National Provider Identifier
1497213748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- Carl Vinson VA Medical Center
1826 Veterans Blvd.
Dublin, GA 31021 - Phone
- (478) 272-1210
- Fax
- (478) 277-2874
- NPI assigned
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | GA | Primary |
Addresses
Primary practice location
Carl Vinson VA Medical Center
1826 Veterans Blvd.
Dublin, GA 31021
Mailing address
Carl Vinson VA Medical Center
1826 Veterans Blvd.
Dublin, GA 31021
Phone (478) 272-1210
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1497213748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARL VINSON VA MEDICAL CENTER",
"address_2": "1826 VETERANS BLVD.",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-1210",
"fax_number": "478-277-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARL VINSON VA MEDICAL CENTER",
"address_2": "1826 VETERANS BLVD.",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-1210",
"fax_number": "478-277-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RONALD",
"middle_name": "E.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.