Active NPI
Haleigh Nixon Johnson, PA-C
- Medical Physician Assistant
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 12198
- Practice address
- 340 N Milledge Ave Ste B
Athens, GA 30601-3806 - Phone
- (706) 548-0008
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | GA | ||
| Medical Physician Assistant | 363AM0700X | 12198 | GA | Primary |
Addresses
Primary practice location
340 N Milledge Ave Ste B
Athens, GA 30601-3806
Mailing address
340 N Milledge Ave Ste B
Athens, GA 30601-3806
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
340 N Milledge Ave
Suite B
Athens, GA 30601-3806
Phone (406) 548-0008
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
592 Ridgeway Rd
Suite B
Commerce, GA 30529-1334
Phone (706) 548-0008
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12198 | GA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care of Oconee, LLC | Current | Accepting new patients | |
| Urgent Care of Oconee, LLC | Current | Accepting new patients |
Locations
2375 W Broad St
Ste G
Athens, GA 30606
Phone (706) 567-6151
1690 Eatonton Rd
Madison, GA 30650
Phone (706) 342-7272
2061 Experiment Station Rd
Ste 505
Watkinsville, GA 30677
Phone (706) 310-0324
Interoperability endpoints
- haleigh.johnson@ud.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Multi-Specialty Clinic/Center
- Watkinsville, GA
- NPI 1760839500
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Urgent Care Clinic/Center
- Athens, GA
- NPI 1093468951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1679336606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 N MILLEDGE AVE STE B",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013806",
"fax_number": "706-369-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MILLEDGE AVE STE B",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013806",
"telephone_number": "706-548-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HALEIGH",
"middle_name": "NIXON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "12198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.