Individual provider Active NPI

Austin Keith Johnson, RN

  • Registered Nurse
  • Atlanta, GA
National Provider Identifier
1790467975
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN320856 Issued in GA
Practice address
3495 Piedmont Rd NE BLDG 9
Atlanta, GA 30305-1729
Phone
(404) 365-0966
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN320856 GA
Critical Care Medicine Registered Nurse 163WC0200X RN320856 GA
Hospice Registered Nurse 163WH1000X RN320856 GA
Infusion Therapy Registered Nurse 163WI0500X RN320856 GA
Ambulatory Care Registered Nurse 163WP2201X RN320856 GA
Case Manager/Care Coordinator 171M00000X RN320856 GA
Registered Nurse 163W00000X RN320856 GA Primary

Addresses

Primary practice location

3495 Piedmont Rd NE BLDG 9
Atlanta, GA 30305-1729

Mailing address

3495 Piedmont Rd NE BLDG 9
Atlanta, GA 30305-1729
Phone (404) 365-0966

Other practice location 1

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

Other practice location 2

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (404) 501-1000

Other practice location 3

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342
Phone (678) 843-7001

Other practice location 4

2470 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone (404) 365-0966

Other practice location 5

371 E Paces Ferry Rd NE Ste 640
Atlanta, GA 30305-2372
Phone (470) 377-6400

Other practice location 6

3650 Steve Reynolds Blvd
Duluth, GA 30096-4506
Phone (404) 365-0966

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN320856GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Biocare Oncology and Therapeutics, LLC PastSince Nov 13, 2022 Accepting new patients
The Southeast Permanente Medical Group Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1790467975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE BLDG 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051729",
            "telephone_number": "404-365-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE BLDG 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051729",
            "telephone_number": "404-365-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1968 Peachtree Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091281",
            "country_code": "US",
            "telephone_number": "404-605-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 N Decatur Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300335918",
            "country_code": "US",
            "telephone_number": "404-501-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Peachtree Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "678-843-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2470 Mount Zion Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302362500",
            "country_code": "US",
            "telephone_number": "404-365-0966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 E Paces Ferry Rd NE Ste 640",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052372",
            "country_code": "US",
            "telephone_number": "470-377-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Steve Reynolds Blvd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964506",
            "country_code": "US",
            "telephone_number": "404-365-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUSTIN",
        "middle_name": "KEITH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "RN320856",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN320856",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 29, 2024; 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.