Miles Johnson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

038817 Issued in GA

Practice address

150 Fiddlers RDG
Fayetteville, GA 30214-2684

Phone

(404) 664-4578

Fax

(770) 991-5012

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Your Ordinary, Inc.

  dba Beyond Your Ordinary Treatment Center

  • Multi-Specialty Clinic/Center
  • McDonough, GA
  • NPI 1396365094
  Medicare reassignment NPD
• Changing Phases Behavioral Support, Inc

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1497094205
  Medicare reassignment NPD
• Comprehensive Primary and Urgent Care LLC

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1770097719
  Medicare reassignment NPD
• Miles D. Johnson, M.D.P.C.

  • Skilled Nursing Facility
  • Fairburn, GA
  • NPI 1427228758
  NPD Authorized official
• Bliss Primary and Urgent Care PC

  • Family Nurse Practitioner
  • Clarkston, GA
  • NPI 1659874287
  Authorized official Same address or phone
• Miles David Johnson, MD PC

  • Family Medicine Physician
  • Fayetteville, GA
  • NPI 1801256946
  Authorized official Same address or phone
• Georgia Treatment Services LLC

  • Methadone Clinic
  • Macon, GA
  • NPI 1578125282
  NPD
• Friendship Community Healthcare Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1033241666
  NPD (past)
• Gwinnett Spine Specialists LLC

  • General Practice Physician
  • Duluth, GA
  • NPI 1841736303
  NPD (past)
• Health Education Assessment and Leadership, Inc

  dba HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1700328309
  NPD (past)
• J & S Healthcare Associates, P.C.

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1174533921
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1568419844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MARTIN LUTHER KING JR DR SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111636",
            "telephone_number": "678-556-9460",
            "fax_number": "678-556-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FIDDLERS RDG",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142684",
            "telephone_number": "404-664-4578",
            "fax_number": "770-991-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "038817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00622729G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan McCarroll Johnson, MD
• Gina Gonzalez Johnson, D.O.
• Kettely Jeanne Johnson, LCSW
• Kyle H Johnson, LPC
• Melissa Kaye Johnson, PT, CWS
• Rachel Johnson, LCSW
• Tameca Lazell Johnson, LMT, MMP
• Francesca Mokry Johnston, PT, DPT
• Joiner Dental LLC (Fayette Family Dental)
• Janice Dorsey Joiner, CNM MSN

• Family Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.