DOUGLAS T. JOHNSON (NPI# 1114110061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114110061 |
Entity Type | Individual |
Full Name | DOUGLAS T. JOHNSON |
Credential | PA-C |
Practice Address |
2801 N Decatur Rd Ste 200 Decatur GA 30033-5936 |
Mailing Address |
2801 N Decatur Rd Suite 200 Decatur GA 30033-5825 |
Practice Telephone | 4042965005 |
Practice Fax Number | 4042962070 |
Mailing Telephone | 4042965005 |
Mailing Fax Number | 4042962070 |
Enumeration Date | 2007-08-23 |
Last Update Date | 2011-09-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
6115 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
1447571260 | Douglas Earl Johnson Sr. | Counselor | 334 Old Thomas Rd, Watha, NC 28478-9538 | 2010-06-16 |
1558528505 | Douglas D. Johnson | Dentist | 1310 Tara Hills Dr Ste G, Pinole, CA 94564-2533 | 2008-05-19 |
1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
1356556880 | Douglas M Johnson | Dentist | 2380 14th Ave Se, Albany, OR 97322-6800 | 2007-05-10 |
1205950052 | Douglas Scott Johnson | Chiropractor | 3365 N. Academy Blvd., Colorado Springs, CO 80917 | 2007-03-19 |
1225163843 | Douglas Harold Johnson | Dentist | 275 Pendleton Way, Washougal, WA 98671-4203 | 2007-02-22 |
1033255328 | Douglas Arthur Johnson | Speech-Language Pathologist | 500 North Navajo, Box 1927, Page, AZ 86040 | 2007-01-30 |
1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
1417055971 | Douglas R Johnson | Counselor | 1750 Pine Ave, Niagara Falls, NY 14301-2232 | 2006-09-20 |
Street Address |
2801 N DECATUR RD STE 200 |
City | DECATUR |
State | GA |
Zip Code | 30033-5936 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245205020 | Julio Petilon | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033 | 2006-02-23 |
1619591450 | Brian Pallone | Specialist/Technologist | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2020-06-07 |
1184271009 | Dr Julio Ortho Spine LLC | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2019-08-26 |
1053877787 | Polascik LLC | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2019-02-19 |
1285108183 | Christopher Polascik | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2019-01-14 |
1003381591 | Jacquelyn Denise Macey | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2018-10-10 |
1326525437 | Aopa, LLC | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2018-07-21 |
1780177790 | Aidan Anne O'connor | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2018-06-13 |
1861768467 | Lindsay Contracting Services | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2012-03-28 |
1083941322 | Spine Specialists of Georgia | Orthopaedic Surgery | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2009-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891136750 | Rodney Oneal Morrison | Physician Assistant | 3204 Jefferson Square Ct, Decatur, GA 30030-1730 | 2013-07-08 |
1558625319 | Coraccess, Inc | Physician Assistant | 1478 Leafview Rd, Decatur, GA 30033-2112 | 2012-06-26 |
1326525437 | Aopa, LLC | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2018-07-21 |
1104274323 | Monal, LLC | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2016-05-27 |
1235505280 | Moniqua Turner | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2015-08-13 |
1982093480 | Southeastern Orthopedic Surgical Pa, LLC | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2015-01-21 |
1861768467 | Lindsay Contracting Services | Physician Assistant | 2801 N Decatur Rd Ste 200, Decatur, GA 30033-5936 | 2012-03-28 |
1740560978 | Midwestern Advanced Orthopaedics and Sports Medicine Inc | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2011-08-19 |
1114169703 | Edg Sports Medicine,inc | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2009-03-30 |
1245444215 | Marc A Maslanka | Physician Assistant | 2801 N Decatur Rd, Suite 200, Decatur, GA 30033-5949 | 2007-05-09 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.