Hezikiah Brodrick Johnson III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1391 Issued in GA

Practice address

2601 Dawson Rd
Albany, GA 31707-1674

Phone

(229) 434-4313

Fax

(229) 883-7923

NPI assigned

Nov 13, 2006

Sex

Male

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

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

Interoperability endpoints

• Direct secure messaging: hezikiah.johnson@aaphc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ICEHBA

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.

• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1780608992
  Medicare reassignment
• Albany Area Primary Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1013709625
  NPD
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1033579412
  NPD
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1003287731
  NPD (past)
• Albany Area Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, GA
  • NPI 1023043692
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891867347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LONGBOW DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317218920",
            "telephone_number": "229-438-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071674",
            "telephone_number": "229-434-4313",
            "fax_number": "229-883-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON III",
        "first_name": "HEZIKIAH",
        "middle_name": "BRODRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquanna Jessie
• JLG LLC
• JMR Homecare, LLC
• John M Dixon MD PC
• Andrew Thomas Johns, PA
• Whitney Nikita Johnson-Hope, BS
• Avis Felecia Johnson-Smith, NURSE PRACTITIONER
• Adrian M. Johnson, M.S.
• Barbara Lynn Johnson, DDS
• Falan Collier Johnson, PHARMD

• Optometrist in Albany, GA
• Providers in Albany, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.