MR. MICHAEL MARTIN JOHNSON (NPI# 1336538974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336538974 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MARTIN JOHNSON |
| Credential | PA-C |
| Practice Address |
2020 Honey Creek Pkwy Se Conyers GA 30013-2974 |
| Mailing Address |
2020 Honey Creek Se Pkwy Conyers GA 30013-2974 |
| Practice Telephone | 7709290813 |
| Mailing Telephone | 7709290813 |
| Mailing Fax Number | 7709293868 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
2020 HONEY CREEK PKWY SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-2974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297520 | Nadeem N Hoodbhoy | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2005-07-07 |
| 1750894408 | Chelsey Brack | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-11-15 |
| 1407392558 | Brilee Rogers | Physician Assistant | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2017-01-13 |
| 1043414048 | Indira R Asser | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013 | 2007-06-13 |
| 1952460149 | Rockdale Family Practice, PC | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2006-12-06 |
| 1194839597 | Maria Goyco | Internal Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2006-08-19 |
| 1003849027 | Ghulam Mustafa Jarwar | Pediatrics | 2020 Honey Creek Pkwy Se, Suite E, Conyers, GA 30013-2974 | 2006-07-10 |
| 1104817014 | Ethel L Smith | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013 | 2005-10-31 |
| 1306844675 | Mary Jane B Kassam | General Practice | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2005-07-12 |
| 1215935507 | Mohamed H Kassam | Family Medicine | 2020 Honey Creek Pkwy Se, Conyers, GA 30013-2974 | 2005-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| 1538611686 | Jonae Perrin | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2016-10-25 |
| 1972885192 | Katharine Regina Simmon | Physician Assistant | 1313 Milstead Ave Ne, Conyers, GA 30012-3829 | 2011-09-14 |
| 1750497343 | Mara B Ehret | Physician Assistant | 1388 A Wellbrook Circle, Conyers, GA 30012-3872 | 2006-08-23 |
| 1063487015 | Alan M. Keating | Physician Assistant | 1301 Sigman Rd, Suite 100, Conyers, GA 30012-4515 | 2006-02-22 |
| 1285101162 | Sarah Madeline Stripling | Physician Assistant | 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | 2018-10-29 |
| 1982184438 | Rebecca Smith Coman | Physician Assistant | 1101 Nor Tec Drive, Conyers, GA 30013 | 2018-08-15 |
| 1467633511 | Brandy Michelle Collins | Physician Assistant | 2215 Exchange Pl Se, Conyers, GA 30013-6723 | 2007-11-16 |
| 1548335896 | Bhavin Patel | Physician Assistant | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
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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.