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DOUGLAS T. JOHNSON PA-C
NPI 1114110061
Physician Assistant - Surgical in Decatur, GA

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
2801 N DECATUR RD STE 200, DECATUR, GA 30033(404) 296-5005(404) 296-2070 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas T. Johnson Pa-c NPPES

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

DOUGLAS T. JOHNSON PA-C (NPI 1114110061) is an individual surgical provider in Decatur, Georgia, licensed in Georgia (6115) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114110061
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDOUGLAS T. JOHNSONCredential: PA-C
Location Address2801 N DECATUR RD STE 200Decatur, GA 30033-5936
Mailing Address2801 N Decatur Rd Suite 200Decatur, GA 30033-5825 · (404) 296-5005 · Fax (404) 296-2070
Phone(404) 296-5005
Fax(404) 296-2070
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 23, 2007
Last NPPES UpdateSeptember 9, 2011
✔ NPI 1114110061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 6115
2801 N DECATUR RD STE 200, Decatur, GA 30033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas T. Johnson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789779349
PECOS Enrollment IDI20110811000777
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

POLASCIK LLC
Physician Assistant
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
SPINE SPECIALISTS OF GEORGIA
Orthopaedic Surgery
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
DR JULIO ORTHO SPINE LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
CHRISTOPHER POLASCIK
Physician Assistant
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
AOPA, LLC
Physician Assistant (Surgical)
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
BRIAN PALLONE AT., C
Specialist/Technologist (Athletic Trainer)
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
MS. AIDAN ANNE O'CONNOR
Physician Assistant
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005
LINDSAY CONTRACTING SERVICES
Physician Assistant (Surgical)
2801 N DECATUR RD STE 200
DECATUR, GA 30033
Dekalb County (404) 296-5005

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 Douglas Johnson's NPI number?

The NPI number for Douglas Johnson is 1114110061. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Douglas Johnson located?

Douglas Johnson practices at 2801 N Decatur Rd Ste 200, Decatur, GA 30033. The listed phone number is (404) 296-5005.

What is Douglas Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Douglas Johnson enrolled in Medicare?

Yes. Douglas Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Douglas Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Johnson was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.