Provider Type Icon

EDDIE P JOHNSON III DMD PC NPI 1811266646


NPI Information

NPI: 1811266646
Provider Name: EDDIE P JOHNSON III, DMD, PC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2755 BARTON CHAPEL RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-9179
Get Directions

EDDIE P JOHNSON III, DMD, PC is a preferred provider organization in Augusta, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. EDDIE P JOHNSON III, DMD, PC NPI is 1811266646. The provider is registered as an organization entity type.

The provider's business location address is:

2755 BARTON CHAPEL RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-9179
Fax: (706) 790-3408

The provider's authorized official is Eddie P Johnson .
The authorized official title is Dentist and has the following contact phone number (706) 790-9179.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/23/2011.


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
1305R00000XPreferred Provider Organization009685GEORGIAYes

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
100254526CMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.