Frederick Dwayne Johnson Jr., M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

84342 Issued in GA

Practice address

PO Box 5764
Thomasville, GA 31758-5764

Phone

(229) 221-6596

NPI assigned

May 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Arkansas College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minimally Invasive and Vascular Solutions, LLCGroup PAC ID 1951891258, 2 clinicians

Sterling Radiology LLCGroup PAC ID 1254705338, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105
• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

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.

• Minimally Invasive & Vascular Solutions, LLC

  • Vascular & Interventional Radiology Physician
  • Thomasville, GA
  • NPI 1528946662
  Medicare reassignment Care Compare group NPD Authorized official
• Sterling Radiology LLC

  • Body Imaging Physician
  • Moultrie, GA
  • NPI 1770295537
  Medicare reassignment Care Compare group NPD
• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942
  Medicare reassignment NPD
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507
  Medicare reassignment NPD
• Hospital Authority of Mitchell County

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247
  Medicare reassignment NPD
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094
  Care Compare affiliation
• Colquitt Regional Medical Center

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036
  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738
  Care Compare affiliation

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1619143914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5764",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317585764",
            "telephone_number": "229-221-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5764",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317585764",
            "telephone_number": "229-221-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FREDERICK",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "51504",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "84342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007629",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D. Archbold Memorial Hospital, Inc.
• John D. Archbold Memorial Hospital, Inc.
• John D. Archbold Memorial Hospital, Inc.
• John D. Archbold Memorial Hospital, Inc.
• John L. Taylor, Jr., M.D., PA
• Jerry Steven Johnson, M.D.
• Kaila Nicole Johnson, PHARMD
• Marlin S Johnson, D.M.D.
• Michael Johnson, PT, DPT
• Quinetta L Johnson, MS

• Vascular & Interventional Radiology Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Vascular & Interventional Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.