Individual provider Active NPI

Vann Andre Johnson, DPM

  • Podiatrist
  • Gainesville, GA
National Provider Identifier
1902108053
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001162 Issued in GA
Practice address
466 Green St NE
Gainesville, GA 30501-3312
Phone
(770) 534-3668
Fax
(770) 536-5878
NPI assigned
Nov 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001162 GA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3499 FL

Addresses

Primary practice location

466 Green St NE
Gainesville, GA 30501-3312

Mailing address

900 Circle 75 Pkwy.
Ste 900
Atlata, GA 30339-3084
Phone (678) 426-2171

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001478 GA Practitioner - Podiatry 7012187727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Podiatry Group II LLCGroup PAC ID 7719218437, 70 clinicians
Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Practice addresses (Care Compare)

4749 Nelson Brodgon Blvd
BLDG 300 Suite 100
Sugar Hill, GA 30518-7524
Phone (770) 615-5554

4749 Nelson Brogdon Blvd
BLDG 300 Suite 101
Sugar Hill, GA 30518-7524
Phone (770) 614-5554

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions14
Removal of nail tissue313
Removal or shaving of skin growth32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3499FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group II, LLC. Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Village Podiatry Group LLC Podiatrist CurrentSince Dec 14, 2015 Accepting new patients
Village Podiatry Group, L.L.C. Podiatrist CurrentSince Dec 14, 2015 Accepting new patients
Advanced Footcare Inc Podiatrist PastSince Jul 7, 2017 Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 900
Atlanta, GA 30339
Phone (678) 426-2171

2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770

4445 S Lee St
Ste 200
Buford, GA 30518
Phone (770) 848-7160

4749 Nelson Brogdon Blvd
Bldg 300
Buford, GA 30518
Phone (770) 614-5554

4749 Nelson Brogdon Blvd
Ste 101
Buford, GA 30518

3655 Howell Ferry Rd
Ste 100
Duluth, GA 30096
Phone (770) 497-8283

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

1224 Sherwood Park Dr NE
Gainesville, GA 30501
Phone (770) 287-0606

466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

3415 Holcomb Bridge Rd
Norcross, GA 30092
Phone (770) 449-1122

1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • Direct secure messaging: vann.johnson.1@4399.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1902108053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY.",
            "address_2": "STE 900",
            "city": "ATLATA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 GREEN ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013312",
            "telephone_number": "770-534-3668",
            "fax_number": "770-536-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VANN",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001162",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.