Organization Active NPI

Charlene Johnson MD LLC

  • Medical Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1558525071
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CHARLENE JOHNSON MD LLC
Practice address
2945 Stone Hogan Rd
Suite 201
Atlanta, GA 30331-2835
Phone
(404) 349-6758
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Charlene Johnson-Brown
Title
Physician
Phone
(404) 349-6758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2945 Stone Hogan Rd
Suite 201
Atlanta, GA 30331-2835

Mailing address

1415 Highway 85 N
Suite 310-246
Fayetteville, GA 30214-4035
Phone (404) 349-6758

National Provider Directory

National Provider Directory
Tax ID family
Camp Creek Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1558525071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N",
            "address_2": "SUITE 310-246",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144035",
            "telephone_number": "404-349-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN RD",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312835",
            "telephone_number": "404-349-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE JOHNSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-BROWN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-349-6758",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.