Active NPI
Michael Reu Johnston, D.C.
- Chiropractor
- Forest Park, GA
National Provider Identifier
1851456859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6951
- Practice address
- 1075 Main St
Forest Park, GA 30297-1441 - Phone
- (404) 366-4124
- Fax
- (404) 366-0297
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6951 | GA | Primary |
Addresses
Primary practice location
1075 Main St
Forest Park, GA 30297-1441
Mailing address
1075 Main Street
Forest Park, GA 30297
Phone (404) 366-4124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35ZCJFQ | Other | GA | MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1075 Main St
Forest Park, GA 30297-1441
Phone (404) 366-4124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Rehab & Wellness | Chiropractor | Current | Accepting new patients |
| Athens Chiropractic & Therapy | Chiropractor | Past | Accepting new patients |
| Arrowhead Clinic, Inc. | Chiropractor | Past | Accepting new patients |
| Harry W. Brown, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1075 Main St
Forest Park, GA 30297
Phone (404) 364-0100
Organizations & group practices 4
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.
-
- Chiropractor
- Forest Park, GA
- NPI 1417391152
-
- Chiropractor
- Jonesboro, GA
- NPI 1003835224
-
- Exclusive Provider Organization
- Athens, GA
- NPI 1851575500
Chiropractor
-
- Chiropractor
- Savannah, GA
- NPI 1225058639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1851456859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 MAIN STREET",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "30297",
"telephone_number": "404-366-4124",
"fax_number": "404-366-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 MAIN ST",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302971441",
"telephone_number": "404-366-4124",
"fax_number": "404-366-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MICHAEL",
"middle_name": "REU",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "6951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "35ZCJFQ",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.