Individual provider Active NPI

Haleigh Nixon Johnson, PA-C

  • Medical Physician Assistant
  • Athens, GA
National Provider Identifier
1679336606
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12198 Issued in GA
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

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724000472 GA Practitioner - Physician Assistant 5799221958 Reassigns benefits to 3 organizations

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
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

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 Hospital, Athens, GA, CCN 110074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12198GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Oconee, LLC CurrentSince Mar 7, 2024 Accepting new patients
Urgent Care of Oconee, LLC CurrentSince Mar 7, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.