Active NPI
Roy Neil Johnston, M.D.
- Psychiatry Physician
- Decatur, GA
National Provider Identifier
1912030610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 040428
- Practice address
- 544 Medlock Rd
Decatur, GA 30030-1515 - Phone
- (404) 378-0330
- Fax
- (404) 378-2191
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 040428 | GA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 040428 | GA |
Addresses
Primary practice location
544 Medlock Rd
Decatur, GA 30030-1515
Mailing address
PO Box 666
Decatur, GA 30031-0666
Phone (404) 378-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000763188E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Addiction Recovery | Past | Accepting new patients | |
| R Neil Johnston MD LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Scottdale, GA
- NPI 1922282052
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Norcross, GA
- NPI 1043437742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1912030610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 666",
"city": "DECATUR",
"state": "GA",
"postal_code": "300310666",
"telephone_number": "404-378-0330",
"fax_number": "404-378-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 MEDLOCK RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301515",
"telephone_number": "404-378-0330",
"fax_number": "404-378-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "ROY",
"middle_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "040428",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "GA",
"license": "040428",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000763188E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.