Peter Charles Johnson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

034378 Issued in GA

Practice address

965 Hawthorne PRK.
Suite 100a
Athens, GA 30086

Phone

(706) 369-1200

Fax

(706) 369-0540

NPI assigned

Sep 28, 2006

Last updated

May 5, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Center for Women's Health and Fitness, LLC

  • Specialist
  • Athens, GA
  • NPI 1922273655
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1669563029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1390",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300861390",
            "telephone_number": "706-369-1200",
            "fax_number": "706-369-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HAWTHORNE PRK.",
            "address_2": "SUITE 100A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30086",
            "telephone_number": "706-369-1200",
            "fax_number": "706-369-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "034378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000483755M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendria May Johnson
• Lee N Johnson, LMFT
• Mary W Johnson, PT
• Montressa R Johnson
• Paul McPherson Johnson, MD
• Rachel Johnson, MS, ATC
• Renee Johnson
• Robert Allen Johnson, PH.D.
• Ryan P Johnson, ATC
• Sarah Ann Johnson, M.D.

• Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.