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STACEY W JOHNSON MD
NPI 1376511667
Pediatrics in Thomasville, GA

Active since March 10, 2006PECOS Enrolled
509 GORDON AVE, THOMASVILLE, GA 31792(229) 226-7544(229) 226-0314 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey W Johnson Md NPPES

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

STACEY W JOHNSON MD (NPI 1376511667) is an individual pediatrics provider in Thomasville, Georgia, licensed in Georgia (041324) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376511667
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACEY W JOHNSONCredential: MD
Location Address509 GORDON AVEThomasville, GA 31792
Mailing AddressPo Box 2258Thomasville, GA 31799 · (229) 226-7544 · Fax (229) 226-0314
Phone(229) 226-7544
Fax(229) 226-0314
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1376511667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 041324
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
509 GORDON AVE, Thomasville, GA 31792
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Other Identifiers 4

Medicaid000706439CGA
Medicare UPINH45255
Medicare ID-Type Unspecified37BBBFVXGA
Medicaid000706439BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey W 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 31792 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 11

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

TIMOTHY A JONES MD
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
JOSE M GRAVE DE PERALTA MD
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
STEPHANIE S FENNELL MD
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
DR. SARAH HARDY BOUCK MD
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
AMY A COOPER MD
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
NICOLE SIMMONS NP
Nurse Practitioner (Family)
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544
SALLI CHISM LEHMAN M.D.
Pediatrics
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 223-7544
HOLLY M CROWLEY MD
Psychiatry & Neurology (Neurology)
509 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 226-7544

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 Stacey Johnson's NPI number?

The NPI number for Stacey Johnson is 1376511667. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Stacey Johnson located?

Stacey Johnson practices at 509 Gordon Ave, Thomasville, GA 31792. The listed phone number is (229) 226-7544.

What is Stacey Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacey Johnson enrolled in Medicare?

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

What insurance does Stacey Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Stacey 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 Stacey Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.