Dustin Johnston
Individual provider Active NPI Internal Medicine Physician · Dalton, GA
NPI 1578026530 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1578026530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 92505 (GA)
- Practice address
- 1107 Memorial Dr Ste 200
Dalton, GA 30720-8662 - Phone
- (706) 226-9355
- Fax
- (706) 226-9380
- NPI assigned
- Apr 8, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hamilton Physician Group, Inc
Practice addresses (Care Compare)
1107 Memorial Dr
Suite 200
Dalton, GA 30720-8662
Phone (706) 226-9355
Hospital & facility affiliations
- Hamilton Home Health
- North Georgia Home Health Agency, an Amedysis Comp
- Adoration Home Health
- Adventhealth Home Health
- Hamilton Medical Center- Hospice
- Spirit Hospice of Georgia
- Hamilton Medical Center
- Quinton Mem HC & Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hamilton Medical Center Hospice |
Hospice | Corporate Director | Jun 22, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815002525 | GA | Practitioner - Internal Medicine | 4587997069 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92505 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physician Group Inc | Current |
Accepting new patients | |
| Paragon Medical Associates | Family Medicine | Past |
Accepting new patients |
| Hamilton Medical Center, Inc. | Past | Accepting new patients |
Locations
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
1107 Memorial Dr
Ste 200
Dalton, GA 30720
Phone (706) 226-9355
Interoperability endpoints
- djohnston19096@hhcs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 92505 | GA | Yes |
Addresses
Primary practice location
1107 Memorial Dr Ste 200
Dalton, GA 30720-8662
Mailing address
1107 Memorial Dr Ste 200
Dalton, GA 30720-8662
Phone (706) 226-9355
Other providers in Dalton, GA
- Elizabeth Johnson
- Juanita Johnson
- Katherine Johnson
- Marilyn Ball Johnson
- Courtney Griffin Johnston
- Joint Regeneration of Dalton
- Carrie Anne Jones
- Heather Michelle Jones
- Lonja Jones
- Nadia Elizabeth Jones
All providers in Dalton, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.