Michael O Johnson Physician Assistant PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MICHAEL O JOHNSON PHYSICIAN ASSISTANT PLLC

Doing business as

Rhema Medical llc

Practice address

377 W Pike St # A3-2
Lawrenceville, GA 30046-4881

Phone

(470) 461-7031

Fax

(720) 502-6820

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael JohnsonNPI 1003313727

Title

Provider

Phone

(347) 546-3594

Specialties & licenses 1

Addresses

Other names 1

• Rhema Medical llc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Olton Johnson, PA

  • Physician Assistant
  • Lawrenceville, GA
  • NPI 1003313727
  Authorized official Same address or phone

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1508542812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 W PIKE ST # A3-2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464881",
            "telephone_number": "470-461-7031",
            "fax_number": "720-502-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W PIKE ST # A3-2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464881",
            "telephone_number": "470-461-7031",
            "fax_number": "720-502-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O JOHNSON PHYSICIAN ASSISTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "347-546-3594"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhema Medical llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Ann Meyer
• Elise Meyer, NP
• Melissa Meyer, PT
• Sarah Meyer, PT, DPT
• Michael Johnston Medical Supply
• Melonie Michael
• Chioma Michaelson, LDO
• Fabienne Michel, LMSW
• Michelle Johnson
• Linda Mickens

• Primary Care Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.