MR. KENNETH RAY JOHNSON PA-C NPI 1962784785

NPI Details

MR. Kenneth Ray Johnson, PA-C is a surgical physician assistant in Evans, GA with 15 years of experience. MR. Kenneth Ray Johnson, PA-C NPI is 1962784785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1203 TOWN PARK LN
EVANS, GA
ZIP 30809
Phone: (706) 650-7546
Fax: (706) 922-9168

The NPI 1962784785 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.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• Biopsy of ear (HCPCS:69100)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• All potassium hydroxide (koh) preparations (HCPCS:Q0112)
• Punch biopsy, first skin growth (HCPCS:11104)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Punch biopsy, each additional skin growth (HCPCS:11105)
• Removal of skin tag, 1-15 skin tags (HCPCS:11200)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
• Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
• Simple or single drainage of skin abscess (HCPCS:10060)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/19/2011 and was last updated on 6/29/2018.

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: