Individual provider Active NPI

D'Amico Cortez Johnson, MD

  • Family Medicine Physician
  • McDonough, GA
National Provider Identifier
1952805269
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89151 Issued in GA
Practice address
50 Kelly Rd Ste 200
McDonough, GA 30253-6097
Phone
(770) 957-1887
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 89151 GA Primary

Addresses

Primary practice location

50 Kelly Rd Ste 200
McDonough, GA 30253-6097

Mailing address

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339-3304
Phone (786) 624-9311

Other practice location 1

2124 Candler Rd
Decatur, GA 30032-5572
Phone (404) 836-0272

Other practice location 2

2438 Granada Cir E
Saint Petersburg, FL 33712-3918
Phone (786) 624-9311

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001066 GA Practitioner - Family Practice 1658627971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse Healthcare, Inc.Group PAC ID 6002701273, 155 clinicians

Practice addresses (Care Compare)

455 Lee St SW
Atlanta, GA 30310-1408
Phone (404) 752-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Healthcare, Inc. CurrentSince Oct 11, 2024 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jul 3, 2023 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1204

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

Interoperability endpoints

  • Direct secure messaging: djohnson2739705@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1952805269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE",
            "address_2": "STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "786-624-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KELLY RD STE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536097",
            "telephone_number": "770-957-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 Candler Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300325572",
            "country_code": "US",
            "telephone_number": "404-836-0272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2438 Granada Cir E",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337123918",
            "country_code": "US",
            "telephone_number": "786-624-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "D'AMICO",
        "middle_name": "CORTEZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "89151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.