Individual provider Active NPI

George P Johnson, MD

  • Aerospace Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1932247053
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
50114 Issued in CO
Practice address
3030 N Circle Dr Ste 210
Colorado Springs, CO 80909-1180
Phone
(719) 776-4800
Fax
(719) 776-4802
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0101041297 VA
Aerospace Medicine Physician 2083A0100X 50114 CO Primary

Addresses

Primary practice location

3030 N Circle Dr Ste 210
Colorado Springs, CO 80909-1180

Mailing address

3030 N Circle Dr
Suite 210
Colorado Springs, CO 80909-1177
Phone (719) 475-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000154 CO Practitioner - Preventive Medicine 0648414094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

5320 Mark Dabling Blvd
Suite 100
Colorado Springs, CO 80918-3839
Phone (719) 592-1584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50114COMDAerospace Medicine Physician
0101041297VAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Apr 24, 2018 Accepting new patients
American Current Care P.a. CurrentSince Apr 24, 2018 Accepting new patients

Locations

5320 Mark Dabling Blvd
Ste 100
Colorado Springs, CO 80918
Phone (719) 529-1584

6011 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 571-8100

5320 Mark Dabling Blvd
Bldg 7
Colorado Springs, CO 80918
Phone (719) 592-1584

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1932247053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091177",
            "telephone_number": "719-475-9496",
            "fax_number": "719-776-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091180",
            "telephone_number": "719-776-4800",
            "fax_number": "719-776-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GEORGE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101041297",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "CO",
            "license": "50114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.