Active NPI
Vann Andre Johnson, DPM
- Podiatrist
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- POD001162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 313 |
| Removal or shaving of skin growth | 32 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3499 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group LLC | Podiatrist | Current | Accepting new patients |
| Village Podiatry Group, L.L.C. | Podiatrist | Current | Accepting new patients |
| Advanced Footcare Inc | Podiatrist | Past | 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
- https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
- vann.johnson.1@4399.direct.athenahealth.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Atlanta, GA
- NPI 1427540699
-
- Podiatrist
- Roswell, GA
- NPI 1508846718
-
- Foot & Ankle Surgery Podiatrist
- Covington, GA
- NPI 1942036314
-
- Podiatrist
- Miami, FL
- NPI 1962580134
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Gwinnett
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.