Benjamin Mays Johnston, Sr, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

018579 Issued in GA

Legal business name

BENJAMIN MAYS JOHNSTON, SR, M.D.

Practice address

900 First Street
Suite B
Macon, GA 31201-6806

Phone

(478) 746-1717

Fax

(478) 738-8639

NPI assigned

Oct 17, 2006

Organization subpart

Yes

Parent organization

BENJAMIN M. JOHNSTON, JR, M.D.As reported in NPPES

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

Authorized official

Name

Tammy J Brickle

Title

Billing Agent

Phone

(478) 254-5943

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Benjamin Mays Johnston Sr MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1760562268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28170",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218170",
            "telephone_number": "478-254-5943",
            "fax_number": "478-254-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FIRST STREET",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016806",
            "telephone_number": "478-746-1717",
            "fax_number": "478-738-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN MAYS JOHNSTON, SR, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENJAMIN M. JOHNSTON, JR, M.D.",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BRICKLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "478-254-5943"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "018579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD7073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD7073",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Ernesto Beltran, MD
• Zoe Bender
• Gabrielle Morgan Benedetto
• Angel Benedict, DO
• Andrew Scott Benesh, PHD LMFT
• Alexis Baylee Bennett
• Glen Bennett, LPC
• Gregory Daniel Bennett, MD
• Joni L Bennett, CRNA
• Leigh Underwood Bennett, D.M.D

• Gastroenterology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.