DR. SAMUEL ANDREW JOHNSON MD NPI 1225255128

NPI Information

  • NPI: 1225255128
  • Provider Name: DR. SAMUEL ANDREW JOHNSON, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 WHITCHER ST NE
    SUITE 460
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 427-7389

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NPI Details

DR. Samuel Andrew Johnson, MD is a nephrology internal medicine in Marietta, GA with 24 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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Replacement of tunneled central venous tube (HCPCS:36581)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Review by radiologist of major upper body vein image (HCPCS:75827)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Varicose vein removal (HCPCS:NAN08)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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