Individual provider Active NPI

James Johnson, M.D.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1699762666
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28797 Issued in GA
Practice address
610 19TH St
Columbus, GA 31901-1528
Phone
(706) 322-7884
Fax
(706) 660-2118
NPI assigned
Oct 4, 2005
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28797 GA Primary

Addresses

Primary practice location

610 19TH St
Columbus, GA 31901-1528

Mailing address

2300 Manchester Expy Ste 2001a
Columbus, GA 31904-6802
Phone (706) 320-3126

Other identifiers 3

IdentifierTypeStateIssuer
P01338539OtherGARAILROAD MEDICARE
00372908BMedicaidGA
000372908EMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000210 GA Practitioner - Family Practice 6406931864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group of Georgia LLCGroup PAC ID 9638699648, 31 clinicians

Practice addresses (Care Compare)

610 19TH St
Columbus, GA 31901-1528
Phone (706) 322-7884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28797GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mac - Macon Road LLC Current Accepting new patients
St Francis Columbus Clinic LLC Family Medicine Current Accepting new patients
Millennium Physician Group of Georgia LLC CurrentSince Jan 20, 2025 Accepting new patients
Columbus Clinic, P.C. Current Accepting new patients
St. Francis Psychiatrist ,LLC Current Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Family Medicine Current Accepting new patients
Millennium Independent Provider Network of Georgia, LLC Past Accepting new patients

Locations

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

Interoperability endpoints

  • Direct secure messaging: james.johnson.1@32140.direct.athenahealth.com
  • Direct secure messaging: james.johnson@gadirect.net
  • Direct secure messaging: james.johnson@sfhga.gadirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1699762666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 19TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011528",
            "telephone_number": "706-322-7884",
            "fax_number": "706-660-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "28797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01338539",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00372908B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000372908E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.