MR. WILLIAM RICHARD JOHNSON III PA
NPI 1790085033
Physician Assistant - Surgical in Atlanta, GA

Active since November 02, 2010PECOS Enrolled
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 778-3836 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. William Richard Johnson Iii Pa NPPES

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

MR. WILLIAM RICHARD JOHNSON III PA (NPI 1790085033) is an individual surgical provider in Atlanta, Georgia and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790085033
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. WILLIAM RICHARD JOHNSON IIICredential: PA
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2208
Mailing Address472 Bedford Bay LnLawrenceville, GA 30046-8355 · (404) 729-9179
Sole ProprietorNo
Enumeration DateNovember 2, 2010
NPI 1790085033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
550 PEACHTREE ST NE, Atlanta, GA 30308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. William Richard Johnson Iii Pa 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

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 William Johnson's NPI number?

The NPI number for William Johnson is 1790085033. It was assigned to this individual provider in the NPPES registry on November 2, 2010.

Where is William Johnson located?

William Johnson practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 778-3836.

What is William Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Johnson was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.