EVAN MCCARROLL JOHNSON MD NPI 1023547890

NPI Information

NPI: 1023547890
Provider Name: EVAN MCCARROLL JOHNSON, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1265 HIGHWAY 54 W STE 500D
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 506-5410
Get Directions

Evan Mccarroll Johnson, MD is a neurology psychiatry neurology in Fayetteville, GA with 7 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Evan Mccarroll Johnson, MD NPI is 1023547890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1265 HIGHWAY 54 W STE 500D
FAYETTEVILLE, GA
ZIP 30214-537
Phone: (770) 506-5410

The NPI 1023547890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	62961	TENNESSEE	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2084N0400X	Psychiatry & Neurology	Neurology	91303	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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