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DR. SAMUEL ANDREW JOHNSON MD NPI 1225255128


NPI Information

NPI: 1225255128
Provider Name: DR. SAMUEL ANDREW JOHNSON, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
55 WHITCHER ST NE
SUITE 460
MARIETTA, GA
ZIP 30060
Phone: (770) 427-7389
Get Directions

DR. Samuel Andrew Johnson, MD is a nephrology internal medicine in Marietta, GA with 22 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Samuel Andrew Johnson, MD NPI is 1225255128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

55 WHITCHER ST NE
SUITE 460
MARIETTA, GA
ZIP 30060-155
Phone: (770) 427-7389
Fax: (770) 427-1492

The NPI 1225255128 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)
  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/1/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology54909GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003123548DMEDICAIDGEORGIA
2003123548GMEDICAIDGEORGIA
3003123548SMEDICAIDGEORGIA
4003123548IMEDICAIDGEORGIA
5003123548MMEDICAIDGEORGIA
6003123548RMEDICAIDGEORGIA
729879OTHERSOUTH CAROLINAMEDICAL LICENSE
8003123548FMEDICAIDGEORGIA
9003123548HMEDICAIDGEORGIA
10003123548JMEDICAIDGEORGIA
11003123548LMEDICAIDGEORGIA
12003123548UMEDICAIDGEORGIA
13003123548CMEDICAIDGEORGIA
14003123548EMEDICAIDGEORGIA
15003123548KMEDICAIDGEORGIA
16003123548PMEDICAIDGEORGIA
17003123548TMEDICAIDGEORGIA
18003123548BMEDICAIDGEORGIA
19003123548OMEDICAIDGEORGIA
2054909OTHERGEORGIAMD
21003123548NMEDICAIDGEORGIA
22003123548QMEDICAIDGEORGIA
23003123548VMEDICAIDGEORGIA

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

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