DIANNE JEAN-MARIE BENNETT-JOHNSON M.D.
NPI 1386724599
Internal Medicine in Lilburn, GA

Q: What is Dianne Bennett-johnson's NPI number?

The NPI number for Dianne Bennett-johnson is 1386724599. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Dianne Bennett-johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: Is Dianne Bennett-johnson enrolled in Medicare?

No. Dianne Bennett-johnson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since October 16, 2006Opted out of Medicare · through Jan 1, 2028

483 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047(770) 279-2427(770) 279-0639 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dianne Jean-marie Bennett-johnson M.d. NPPES

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

DIANNE JEAN-MARIE BENNETT-JOHNSON M.D. (NPI 1386724599) is an individual internal medicine provider in Lilburn, Georgia, licensed in Georgia (037957) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1386724599

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDIANNE JEAN-MARIE BENNETT-JOHNSONCredential: M.D.

Location Address483 INDIAN TRAIL LILBURN RD NWLilburn, GA 30047-3717

Mailing Address6050 Peachtree Pkwy, Suite 240-375Norcross, GA 30092-3336 · (770) 279-2427 · Fax (770) 279-0639

Phone(770) 279-2427

Fax(770) 279-0639

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386724599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 037957

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

483 INDIAN TRAIL LILBURN RD NW, Lilburn, GA 30047

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Other Identifiers 3

Medicare ID-Type Unspecified11BDPXLGA

Medicaid00630638FGA

Medicare UPINE84260GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dianne Jean-marie Bennett-johnson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

BELINDA I OPARA NURSE PRACTITIONER

Nurse Practitioner (Family)