Active NPI
Andrea Johnson, M.D.
- Obstetrics & Gynecology Physician
- Decatur, GA
National Provider Identifier
1699862524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 034377
- Practice address
- 755 Commerce Dr
Suite 300
Decatur, GA 30030-2627 - Phone
- (404) 593-2739
- Fax
- (404) 593-2746
- NPI assigned
- Oct 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 034377 | GA | Primary |
Addresses
Primary practice location
755 Commerce Dr
Suite 300
Decatur, GA 30030-2627
Mailing address
755 Commerce Dr
Suite 300
Decatur, GA 30030-2627
Phone (404) 593-2739
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Pittsburgh School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
755 Commerce Dr
Suite 300
Decatur, GA 30030-2615
Phone (404) 593-2739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034377 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Women'S Health & Wellness Center, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Morehouse Healthcare, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
755 Commerce Dr
Ste 300
Decatur, GA 30030
Phone (404) 593-2739
Interoperability endpoints
- andrea.johnson.1@3029.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Lithonia, GA
- NPI 1770617581
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699862524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "SUITE 300",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-593-2739",
"fax_number": "404-593-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 COMMERCE DR",
"address_2": "SUITE 300",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302627",
"telephone_number": "404-593-2739",
"fax_number": "404-593-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "034377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.