ROBERT EUGENE JOHNSON MD
NPI 1093887820
Otolaryngology in Vidalia, GA

Active since November 15, 2006PECOS Enrolled
1707 MEADOWS LN, SUITE C, VIDALIA, GA 30474(912) 537-3384(912) 537-3351 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2019, May 18, 2016 (2 updates tracked since 2016).

About Robert Eugene Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT EUGENE JOHNSON MD (NPI 1093887820) is an individual otolaryngology provider in Vidalia, Georgia, licensed in Georgia (035071) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baxley.

NPPES Registry Identity

NPI1093887820
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameROBERT EUGENE JOHNSONCredential: MD
Location Address1707 MEADOWS LN, SUITE CVidalia, GA 30474-7200
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 537-4986
Fax(912) 537-3351
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateOctober 17, 20192 updates tracked since enumeration
NPI 1093887820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in GA · 035071
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1707 MEADOWS LN, Vidalia, GA 30474

Secondary Practice Location 1

Location 1278 S Main StBaxley, GA 31513-0102 · Phone (912) 537-3384 · Fax (912) 537-3351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Eugene Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1707 MEADOWS LN, SUITE H
VIDALIA, GA 30474
Physician Assistant
1707 MEADOWS LN, SUITE H
VIDALIA, GA 30474
Internal Medicine (Hematology & Oncology)
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474
Internal Medicine (Pulmonary Disease)
1707 MEADOWS LN, SUITE E
VIDALIA, GA 30474
Nurse Practitioner
1707 MEADOWS LN, SUITE C
VIDALIA, GA 30474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Johnson's NPI number?

The NPI number for Robert Johnson is 1093887820. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Robert Johnson located?

Robert Johnson practices at 1707 Meadows Ln Suite C, Vidalia, GA 30474. The listed phone number is (912) 537-3384.

What is Robert Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Robert Johnson enrolled in Medicare?

Yes. Robert Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Johnson was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.