Samantha Kaye Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014944 Issued in GA

Practice address

2970 Peachtree Rd NW Ste 660
Atlanta, GA 30305-2115

Phone

(404) 237-6464

Fax

(404) 266-8567

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Samantha Britt Kaye Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Samantha Kaye Johnson, DDS, PC Family Dentistry

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1750119996
  NPD Authorized official
• Spelios and Associates- Summitt PC

  • Point of Service
  • Marietta, GA
  • NPI 1447483730
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1821026030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 PEACHTREE RD NW STE 660",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052115",
            "telephone_number": "404-237-6464",
            "fax_number": "404-266-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PEACHTREE RD NW STE 660",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052115",
            "telephone_number": "404-237-6464",
            "fax_number": "404-266-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014944",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24511",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "14944",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KAYE",
            "middle_name": "BRITT",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Patrice Johnson, LIMFT
• Rene D Johnson
• Richard Benjamin Johnson, M.D.
• Robert D Johnson Jr., PHARMD
• Robert Paul Johnson, MD
• Samiriel Camille Johnson
• Samuel Johnson
• Santoria Johnson, COTA
• Scott A. Johnson, M.D.
• Serena Johnson, MS, NCC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.