Mary Ann Johnson, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000082 Issued in GA

Practice address

1277 Parker Rd SE
Conyers, GA 30094-5957

Phone

(678) 615-3056

Fax

(678) 623-0136

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1548769581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WEATHERSTONE CIR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300942015",
            "telephone_number": "770-686-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 PARKER RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945957",
            "telephone_number": "678-615-3056",
            "fax_number": "678-623-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY ANN",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "000082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelin Johnson, RBT
• Jan Delroy Johnson, NP
• Kaitlyn Anne Johnson
• Keniesha Johnson
• Kila Johnson, LMT
• Michael Martin Johnson, PA-C
• Michelle Anastase Johnson
• Nicole Dashawn Johnson, MD
• Thomas Edward Johnson, D.C.
• Tony Deandre Johnson

• Occupational Therapy Assistant in Conyers, GA
• Providers in Conyers, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.