Individual provider Active NPI

Daijiah Johnson, CPT

  • Phlebotomy Technician
  • Atlanta, GA
National Provider Identifier
1932821998
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
12112-920 Issued in GA
Practice address
691 John Wesley Dobbs Ave NE Unit C
Atlanta, GA 30312-1669
Phone
(908) 875-9321
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 12112-920 GA Primary

Addresses

Primary practice location

691 John Wesley Dobbs Ave NE Unit C
Atlanta, GA 30312-1669

Mailing address

22 Treeview CT Unit B
Stonecrest, GA 30038-1336
Phone (908) 875-9321

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL daijiahjohnson@labpromobile.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12112-920GAMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1932821998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TREEVIEW CT UNIT B",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300381336",
            "telephone_number": "908-875-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 JOHN WESLEY DOBBS AVE NE UNIT C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121669",
            "telephone_number": "908-875-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAIJIAH",
        "name_prefix": "Mrs.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "12112-920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "daijiahjohnson@labpromobile.com",
            "affiliation": "N",
            "endpointDescription": "baa email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "691 John Wesley Dobbs Ave NE Unit C",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303121669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.