Active NPI
Daijiah Johnson, CPT
- Phlebotomy Technician
- Atlanta, GA
National Provider Identifier
1932821998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 12112-920
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12112-920 | GA | MD | Phlebotomy 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.