Active NPI
Austin Keith Johnson, RN
- Registered Nurse
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN320856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN320856 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biocare Oncology and Therapeutics, LLC | Past | 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.
-
- Nurse Practitioner
- Atlanta, GA
- NPI 1225746894
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
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.