Kemyauna Mauray Johnson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008620 Issued in GA

Practice address

777 Cleveland Ave SW Ste 305
Atlanta, GA 30315-7118

Phone

(404) 539-3882

Fax

(470) 346-2821

NPI assigned

Dec 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1891193769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CREST RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445758",
            "telephone_number": "470-419-1940",
            "fax_number": "470-346-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157118",
            "telephone_number": "404-539-3882",
            "fax_number": "470-346-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEMYAUNA",
        "middle_name": "MAURAY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Cederberg Johnson, PH.D.
• Kayla Johnson
• Kelley Marshall Johnson, MD
• Kelsey Michelle Johnson, FNP-C
• Kemara Johnson
• Khadeja Jamilia Johnson, M.D.
• Khalia Johnson, RBT
• Khaliah Johnson, MD
• Kimball Anne Johnson, MD
• Kimiko Johnson, BS

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.