Active NPI
Scott A. Johnson, M.D.
- Neonatal-Perinatal Medicine Physician
- Atlanta, GA
National Provider Identifier
1760480644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 039831
- Practice address
- 5901 Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382 - Phone
- (404) 252-9751
- Fax
- (678) 990-5763
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 039831 | GA | Primary |
Addresses
Primary practice location
5901 Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382
Mailing address
5901 Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382
Phone (404) 252-9751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000658061F | Medicaid | GA | |
| 00658061B | Medicaid | GA | |
| 000658061D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039831 | GA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette Community Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1760480644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE B-420",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285382",
"telephone_number": "404-252-9751",
"fax_number": "678-990-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE B-420",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285382",
"telephone_number": "404-252-9751",
"fax_number": "678-990-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "GA",
"license": "039831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000658061F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00658061B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000658061D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.