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DR. SAMUEL JOHNSON M.D.
NPI 1477749810
Family Medicine in Stone Mountain, GA

Active since September 19, 2007PECOS Enrolled
5300 MEMORIAL DR, SUITE 112, STONE MOUNTAIN, GA 30083(678) 704-0306 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Johnson M.d. NPPES

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

DR. SAMUEL JOHNSON M.D. (NPI 1477749810) is an individual family medicine provider in Stone Mountain, Georgia, licensed in Georgia (037841) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477749810
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL JOHNSONCredential: M.D.
Location Address5300 MEMORIAL DR, SUITE 112Stone Mountain, GA 30083-3148
Mailing Address5300 Memorial Dr, Suite 112Stone Mountain, GA 30083-3148 · (678) 704-0306
Phone(678) 704-0306
Sole ProprietorNo
Enumeration DateSeptember 19, 2007
✔ NPI 1477749810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 037841
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 037841 (GA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 037841 (GA)
5300 MEMORIAL DR, Stone Mountain, GA 30083
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Other Identifiers 1

Medicare UPING00244GA

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)

Dr. Samuel Johnson M.d. 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 30083 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.

PURE ANGELS HOME CARE SERVICES
In Home Supportive Care
5300 MEMORIAL DR, SUITE 134
STONE MOUNTAIN, GA 30083
Dekalb County (404) 500-5425
THE COUNSELING HEALING CENTER, LLC
Community/Behavioral Health
5300 MEMORIAL DR, SUITE 141
STONE MOUNTAIN, GA 30083
Dekalb County (404) 647-2514
HOPE MEDICAL, LLC
Family Medicine
5300 MEMORIAL DR, SUITE 110-112
STONE MOUNTAIN, GA 30083
Dekalb County (678) 704-0306
VISIONS OF HOPE COUNSELING
Case Management
5300 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (919) 637-7567
VERBAL EXPRESSIONS,INC.
Speech-Language Pathologist
5300 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 493-2961
HOPE MEDICAL GROUP INC
Psychiatry & Neurology (Psychiatry)
5300 MEMORIAL DR, SUITE 112
STONE MOUNTAIN, GA 30083
Dekalb County (678) 704-0306
MS. FAITH JOY WRIGHT LCSW
Counselor (Mental Health)
5300 MEMORIAL DR, 212
STONE MOUNTAIN, GA 30083
Dekalb County (404) 299-0490
ALTERNATIVE HEALTHCARE SOLUTIONS, INC
Case Management
5300 MEMORIAL DR, SUITE 201 E & F
STONE MOUNTAIN, GA 30083
Dekalb County (910) 978-2954

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 Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1477749810. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Samuel Johnson located?

Samuel Johnson practices at 5300 Memorial Dr Suite 112, Stone Mountain, GA 30083. The listed phone number is (678) 704-0306.

What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Johnson enrolled in Medicare?

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

What insurance does Samuel Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Samuel 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 Samuel Johnson was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.