Individual provider Active NPI

Jamlik Omari Johnson, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1528060449
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
054905 Issued in GA
Practice address
550 Peachtree St NE
Emory University(Euhm)
Atlanta, GA 30308-2212
Phone
(404) 686-5612
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 054905 GA Primary
Diagnostic Radiology Physician 2085R0202X 036113352 IL

Addresses

Primary practice location

550 Peachtree St NE
Emory University(Euhm)
Atlanta, GA 30308-2212

Mailing address

550 Peachtree St NE
Emory University(Euhm)
Atlanta, GA 30308-2212
Phone (404) 686-5612

Other practice location 1

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110105000978 GA Practitioner - Diagnostic Radiology 5991709974 Reassigns benefits to 3 organizations
I20241106001323 CA Practitioner - Diagnostic Radiology 5991709974 Reassigns benefits to 2 organizations
I20251229000660 IL Practitioner - Diagnostic Radiology 5991709974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

676 N Saint Clair St
Suite 800
Chicago, IL 60611-2978
Phone (312) 695-3775

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

Merit-based Incentive Payment System (MIPS)

Final score
62.63 of 100Reported as apm
Quality
36.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054905GAMDDiagnostic Radiology Physician
036113352ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Sep 24, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Dec 1, 2010 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2026 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Dec 1, 2010 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Dec 1, 2010 Accepting new patients
Keck Medicine of Usc Imaging Centers, LLC Diagnostic Radiology CurrentSince Jul 26, 2025 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Sep 24, 2024 Accepting new patients
Clinch County Hospital Authority CurrentSince May 1, 2011 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

125 W Huntington Dr
Bldg B
Arcadia, CA 91007
Phone (626) 281-8288

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9033 Wilshire Blvd
Ste 406
Beverly Hills, CA 90211
Phone (310) 272-8212

1518 San Pablo St
Ste 3500
Los Angeles, CA 90033

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

590 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-8676

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1528060449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "EMORY UNIVERSITY(EUHM)",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082212",
            "telephone_number": "404-686-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "EMORY UNIVERSITY(EUHM)",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082212",
            "telephone_number": "404-686-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112978",
            "country_code": "US",
            "telephone_number": "312-695-5753",
            "fax_number": "312-695-5645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMLIK",
        "middle_name": "OMARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "054905",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036113352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.