DR. SAMUEL JOHNSON (NPI# 1477749810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477749810 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JOHNSON |
| Credential | M.D. |
| Practice Address |
5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148 |
| Practice Telephone | 6787040306 |
| Mailing Telephone | 6787040306 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 037841 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 037841 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 037841 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176677 | Samuel Eric Johnson | Dentist | 5128 Old Highway 11 Ste 7, Hattiesburg, MS 39402-6234 | 2018-06-05 |
| 1245730787 | Samuel Johnson | Behavior Technician | 17688 71st Ln N, Loxahatchee, FL 33470-5501 | 2018-02-20 |
| 1902357874 | Samuel Alexander Johnson | Counselor | 16755 Hughes Rd, Victorville, CA 92395-4563 | 2016-10-17 |
| 1184095556 | Samuel Lee Johnson IIi | Counselor | 2100 Woodmere Blvd Ste 135, Harvey, LA 70058-2294 | 2015-10-12 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1487032751 | Samuel H Johnson | Social Worker | 500 Adams Street, Box 3243, Seward, AK 99664-3243 | 2015-05-07 |
| 1285034496 | Samuel Johnson II | Specialist/Technologist | 220 Champions Drive, Harrisonburg, VA 22807-2478 | 2014-08-26 |
| 1528475092 | Samuel Johnson | Specialist/Technologist | 101 Womens Bldg, Oregon State University, Corvallis, OR 97331-8577 | 2014-07-16 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1205074846 | Samuel Charles-prabhakar Johnson | Physical Therapist | 1026 46th St, Brooklyn, NY 11219-2401 | 2009-02-03 |
| Street Address |
5300 MEMORIAL DR SUITE 112 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769902 | Verbal Expressions,inc. | Speech-Language Pathologist | 5300 Memorial Dr, Stone Mountain, GA 30083-3148 | 2017-02-13 |
| 1114394749 | The Counseling Healing Center, LLC | Community/Behavioral Health | 5300 Memorial Dr, Suite 141, Stone Mountain, GA 30083-3148 | 2015-08-31 |
| 1578956314 | Total 'u' Counseling & Wellness Services | Exclusive Provider Organization | 5300 Memorial Dr, 201-i, Stone Mountain, GA 30083-3148 | 2015-03-17 |
| 1124425483 | Hope Medical, LLC | Family Medicine | 5300 Memorial Dr, Suite 110-112, Stone Mountain, GA 30083-3148 | 2014-12-02 |
| 1104245034 | Pure Angels Home Care Services | In Home Supportive Care | 5300 Memorial Dr, Suite 134, Stone Mountain, GA 30083-3148 | 2014-04-08 |
| 1295163319 | The Miracle of Massage, Inc. | Massage Therapist | 5300 Memorial Dr, Suite 138, Stone Mountain, GA 30083-3148 | 2013-10-29 |
| 1831539857 | Love Living Life Today, LLC | Counselor | 5300 Memorial Dr, Suite #115, Stone Mountain, GA 30083-3148 | 2013-07-05 |
| 1134460850 | Visions of Hope Counseling | Case Management | 5300 Memorial Dr, Stone Mountain, GA 30083-3148 | 2013-03-05 |
| 1730428236 | Avis Clemons | Counselor | 5300 Memorial Dr, Suite 224a, Stone Mountain, GA 30083-3148 | 2013-02-05 |
| 1639435829 | Restoring Hope Counseling Services, LLC | Community/Behavioral Health | 5300 Memorial Dr, Suite 208b, Stone Mountain, GA 30083-3148 | 2012-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427554021 | Cheri M Schneider | Family Medicine | 1805 Parke Plaza Cir Ste 101, Stone Mountain, GA 30087-3646 | 2018-04-03 |
| 1720353881 | Jessica Laine Malmad | Family Medicine | 5462 Memorial Dr Ste 202, Stone Mountain, GA 30083-3239 | 2012-03-21 |
| 1487804001 | Lonnie C. Dalton | Family Medicine | 6124 Kings Mountain Ct, Stone Mountain, GA 30087-1920 | 2008-09-19 |
| 1053575480 | Victor Nikolsky | Family Medicine | 1234 S Hairston Rd Ste 28, Stone Mountain, GA 30088-2719 | 2008-07-15 |
| 1972649192 | Garry Blake Bowden | Family Medicine | 2300 W Park Place Blvd, 122, Stone Mountain, GA 30087-6713 | 2007-01-29 |
| 1548323082 | Regency Health Associates | Family Medicine | 374 Osprey Pt, Stone Mountain, GA 30087-6163 | 2006-12-18 |
| 1851454391 | Elmore Dean Alexander | Family Medicine | 374 Osprey Point, Stone Mountain, GA 30087-6163 | 2006-12-18 |
| 1134216377 | Tina-ann Kerr Thompson, Md, PC | Family Medicine | 1192a Rockbridge Rd, Stone Mountain, GA 30087-2903 | 2006-10-09 |
| 1235162769 | Robert V. Sigh | Family Medicine | 770 Village Square Dr, Stone Mountain, GA 30083-3380 | 2006-07-08 |
| 1770569204 | Zavier Carvel Ash | Family Medicine | 5470 Memorial Dr, Ste. A, Stone Mountain, GA 30083-3214 | 2005-12-16 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
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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.