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DR. CANDACE J JOHNSON M.D.
NPI 1730162702
Pediatrics in Stockbridge, GA

Active since November 23, 2005PECOS Enrolled
225 COUNTRY CLUB DR STE 200, STOCKBRIDGE, GA 30281(678) 782-7137(678) 782-7135 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Candace J Johnson M.d. NPPES

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

DR. CANDACE J JOHNSON M.D. (NPI 1730162702) is an individual pediatrics provider in Stockbridge, Georgia, licensed in Georgia (50389) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730162702
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CANDACE J JOHNSONCredential: M.D.
Location Address225 COUNTRY CLUB DR STE 200Stockbridge, GA 30281-7302
Mailing Address225 Country Club Dr Ste 200Stockbridge, GA 30281-7302 · (678) 782-7137 · Fax (678) 782-7135
Phone(678) 782-7137
Fax(678) 782-7135
Sole ProprietorYes
Enumeration DateNovember 23, 2005
Last NPPES UpdateJanuary 3, 2021
NPPES CertifiedJanuary 3, 2021
✔ NPI 1730162702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 50389
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.
225 COUNTRY CLUB DR STE 200, Stockbridge, GA 30281
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Other Identifiers 1

Medicaid000917782CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Candace J 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.

Medicare Billing Reassignment

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

The Southeast Permanente Medical Group
25 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30281 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.

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 Candace Johnson's NPI number?

The NPI number for Candace Johnson is 1730162702. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Candace Johnson located?

Candace Johnson practices at 225 Country Club Dr Ste 200, Stockbridge, GA 30281. The listed phone number is (678) 782-7137.

What is Candace Johnson's specialty?

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

Is Candace Johnson enrolled in Medicare?

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

Which organization bills Medicare for Candace Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candace Johnson reassigns Medicare benefits to The Southeast Permanente Medical Group (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 Candace Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candace Johnson was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.