Eddie P Johnson III, DMD, PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

009685 Issued in GA

Legal business name

EDDIE P JOHNSON III, DMD, PC

Practice address

2755 Barton Chapel Rd
Augusta, GA 30906

Phone

(706) 790-9179

Fax

(706) 790-3408

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eddie P Johnson III, DMD

Title

Dentist

Phone

(706) 790-9179

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1811266646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 BARTON CHAPEL RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069579",
            "telephone_number": "706-790-9179",
            "fax_number": "706-790-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 BARTON CHAPEL RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-790-9179",
            "fax_number": "706-790-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE P JOHNSON III, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "706-790-9179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "009685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254526C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Martin Echols Jr., D.M.D.
• Steven R Echols, DMD
• Anthony Chase Eckler, DPT
• Sarah Sanders Eckley, P.A.
• Eddie Cheeks MDPC
• Monica Phillips Edenfield, NP
• Alyssa Bryant Edens, DPT
• Holly Lynn Edmonds, CRNA
• Dorothy Marie Edmondson
• Karyn Connell Edmondson

• Preferred Provider Organization in Augusta, GA
• Providers in Augusta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.