Active NPI
Kathleen L Johnson, MD
- Rheumatology Physician
- Marietta, GA
National Provider Identifier
1801928692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 032758
- Practice address
- 664 Willow Knoll Dr SE
Marietta, GA 30067-4682 - Phone
- (404) 374-9323
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 032758 | GA | Primary |
Addresses
Primary practice location
664 Willow Knoll Dr SE
Marietta, GA 30067-4682
Mailing address
664 Willow Knoll
Marietta, GA 30067
Phone (440) 374-9323
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 |
|---|---|---|---|
| 032758 | GA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Rheumatology Consultants PC | Rheumatology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15306/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/ECCGBA
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.
-
- Rheumatology Physician
- Atlanta, GA
- NPI 1598891962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801928692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 WILLOW KNOLL",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "440-374-9323",
"fax_number": "770-956-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 WILLOW KNOLL DR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674682",
"telephone_number": "404-374-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHLEEN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "032758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.