Active NPI
Jennifer Bedell Johnson, MD
- Diagnostic Radiology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 55604
- Practice address
- 1000 Medical Center Blvd
Radiology Department
Lawrenceville, GA 30045-7694 - Phone
- (770) 995-4321
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 55604 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Radiology Department
Lawrenceville, GA 30045-7694
Mailing address
11 Mount Paran Rd NE
Atlanta, GA 30342-2209
Phone (678) 312-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01194854 | Other | MS | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Mississippi School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (770) 237-1428
2078 Teron Trce
Suite 200
Dacula, GA 30019-1606
Phone (678) 312-8600
2306 Wisteria Dr
Suite 110
Snellville, GA 30078-2658
Phone (470) 364-5640
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
3805 Pleasant Hill Rd
Duluth, GA 30096-4808
Phone (678) 312-7316
3855 Pleasant Hill Rd
Duluth, GA 30096-1407
Phone (678) 312-7841
631 Professional Dr
Suite 250
Lawrenceville, GA 30046-3370
Phone (678) 312-0900
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.01 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 68.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55604 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Radiological Association | Current | Accepting new patients | |
| North Metropolitan Radiology Associates, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Lawrenceville, GA
- NPI 1437137031
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1033196464
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1487811766
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1821209800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MOUNT PARAN RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303422209",
"telephone_number": "678-312-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300457694",
"telephone_number": "770-995-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNIFER",
"middle_name": "BEDELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "55604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01194854",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.