1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Dentist
  6. NPI Profile

DR. CHARLES L JOHNSON DDS
NPI 1710108204
Dentist - General Practice in Atlanta, GA

Active since May 01, 2007PECOS Enrolled
98 BROAD ST. SW, ATLANTA, GA 30303(404) 688-7574(404) 688-7578 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Charles L Johnson Dds NPPES

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

DR. CHARLES L JOHNSON DDS (NPI 1710108204) is an individual general practice provider in Atlanta, Georgia, licensed in Georgia (07441) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710108204
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES L JOHNSONCredential: DDS
Location Address98 BROAD ST. SWAtlanta, GA 30303
Mailing Address98 Broad St. SwAtlanta, GA 30303 · (404) 688-7574 · Fax (404) 688-7578
Phone(404) 688-7574
Fax(404) 688-7578
Sole ProprietorYes
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710108204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · 07441
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
98 BROAD ST. SW, Atlanta, GA 30303
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles L Johnson Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grady Memorial Hospital Corporation
0.6 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charles Johnson's NPI number?

The NPI number for Charles Johnson is 1710108204. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Charles Johnson located?

Charles Johnson practices at 98 Broad St. SW, Atlanta, GA 30303. The listed phone number is (404) 688-7574.

What is Charles Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Johnson enrolled in Medicare?

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

Which organization bills Medicare for Charles Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Johnson reassigns Medicare benefits to Grady Memorial Hospital Corporation (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Johnson accept?

Health plans from Ambetter Health list Charles 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 Charles 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.