Martin Thomas Johnson, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

049301 Issued in GA

Practice address

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997

Phone

(678) 638-6610

Fax

(888) 866-2526

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, MO3 enrollments

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 3

Specialty

Psychiatry

Education

University of Kentucky College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

J.C. Lewis Primary Healthcare Center, IncGroup PAC ID 8426203225, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martin.johnson.1@23600.direct.athenahealth.com

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.

• Caring Minds Mental Health and Associates, LLC

  • Psychiatry Physician
  • McDonough, GA
  • NPI 1588329544
  Medicare reassignment NPD
• Chris 180, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1134257827
  Medicare reassignment NPD
• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229
  Medicare reassignment NPD
• Guiding Light Healthcare Services

  dba Guiding Light Healthcare Services, LLC

  • Psychiatry Physician
  • Warner Robins, GA
  • NPI 1841707668
  Medicare reassignment NPD
• J.C. Lewis Primary Healthcare Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
  • NPI 1922301472
  Medicare reassignment NPD
• Ozarks Resource Group

  dba Ozarks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hermitage, MO
  • NPI 1639421050
  Medicare reassignment NPD
• Ravens Nest Foundation Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austell, GA
  • NPI 1578867982
  Medicare reassignment
• MTJ Psychiatric Services Inc

  • Clinical Child & Adolescent Psychologist
  • Kennesaw, GA
  • NPI 1487617197
  NPD (past) Authorized official
• J C Lewis Primary Health Care Center

  • Pharmacy
  • Savannah, GA
  • NPI 1508453994
  NPD
• Ozarks Resource Group

  dba Ozarks Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Urbana, MO
  • NPI 1659942027
  NPD
• Rebirth Counseling and Training Center

  • Community Health Clinic/Center
  • East Point, GA
  • NPI 1932479755
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1760784839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 BUCKNER CREEK DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262794",
            "telephone_number": "678-984-7557",
            "fax_number": "678-692-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "678-638-6610",
            "fax_number": "888-866-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mall Anx",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064738",
            "country_code": "US",
            "telephone_number": "912-495-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2023-08-23",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "049301",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "049301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Johnson
• Mark R Johnson
• Marquita Johnson
• Marquita V Johnson
• Marshall Johnson, AA-C
• Martin Thomas Johnson
• Mary James (Jamie) Johnson, LPC
• Mary Katherine Johnson, PHARMD
• Mary Neel Johnson, NNP/BC
• Mecca Dawn Johnson

• Child & Adolescent Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.

Verify at the official NPI Registry.