Active NPI
Robert Paul Johnson, MD
- Infectious Disease Physician
- Atlanta, GA
National Provider Identifier
1649260415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 72334
- Practice address
- 1364 Clifton Rd NE
Emory University Hospital
Atlanta, GA 30322-1059 - Phone
- (404) 712-2000
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 59359 | MA | |
| Infectious Disease Physician | 207RI0200X | 59359 | MA | |
| Infectious Disease Physician | 207RI0200X | 72334 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Emory University Hospital
Atlanta, GA 30322-1059
Mailing address
954 Gatewood Rd NE
Yerkes/Emory University
Atlanta, GA 30329-4208
Phone (404) 727-7707
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3066461 | Medicaid | MA | |
| 724123 | Other | MA | TUFTS HEALTH PLAN |
| J09576 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59359 | MA | MD | Internal Medicine Physician |
| 72334 | GA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1649260415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 GATEWOOD RD NE",
"address_2": "YERKES/EMORY UNIVERSITY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294208",
"telephone_number": "404-727-7707",
"fax_number": "404-727-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"address_2": "EMORY UNIVERSITY HOSPITAL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-712-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "59359",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "59359",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "72334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3066461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "724123",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J09576",
"state": "MA"
}
],
"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 Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.