TROY EDWIN JOHNSON MD
NPI 1285611053
Emergency Medicine in Covington, GA

Q: What is Troy Edwin Johnson's NPI number?

The NPI number for Troy Edwin Johnson is 1285611053. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Troy Edwin Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment

5126 HOSPITAL DR NE, COVINGTON, GA 30014(800) 532-6151 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Troy Edwin Johnson Md NPPES

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

TROY EDWIN JOHNSON MD (NPI 1285611053) is an individual emergency medicine provider in Covington, Georgia, licensed in Georgia (45256) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Boston University School Of Medicine (1990).

NPPES Registry Identity

NPI1285611053

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTROY EDWIN JOHNSONCredential: MD

Location Address5126 HOSPITAL DR NECovington, GA 30014-2566

Mailing AddressPo Box 5779Athens, GA 30604-5779 · (706) 310-0381 · Fax (706) 310-0390

Phone(800) 532-6151

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1990

Enumeration DateDecember 22, 2005

Last NPPES UpdateJuly 20, 2022

NPPES CertifiedJuly 20, 2022

✔ NPI 1285611053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 45256

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5126 HOSPITAL DR NE, Covington, GA 30014

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Other Identifiers 1

Medicaid000792514DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Troy Edwin Johnson Md 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 ID4385537844

PECOS Enrollment IDI20040206000750

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

175 services164 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

150 services145 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

55 services54 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

29 services29 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110006

Location1230 Baxter StreetAthens, GA 30606 · Clarke County

Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110051

Location35 Hospital RoadBlairsville, GA 30512 · Union County

Emergency services Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number111329

Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

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 20

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

US INTERVENTIONS & RADIOLOGY

Radiology (Vascular & Interventional Radiology)

5126 HOSPITAL DR NE, DEPARTMENT OF RADIOLOGY
COVINGTON, GA 30014

Newton County (770) 385-4588

NEWTON HEALTH SYSTEM INC

Clinic/Center (Pain)