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DR. DURWOOD M JOHNSON JR. DMD
NPI 1861505141
Oral & Maxillofacial Surgery in Fayetteville, GA

Active since August 17, 2006PECOS Enrolled
1260 HWY 54 W, SUITE 200, FAYETTEVILLE, GA 30214(770) 461-2101(770) 460-1292 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Durwood M Johnson Jr. Dmd NPPES

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

DR. DURWOOD M JOHNSON JR. DMD (NPI 1861505141) is an individual oral & maxillofacial surgery provider in Fayetteville, Georgia, licensed in Georgia (7973) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861505141
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. DURWOOD M JOHNSON JR.Credential: DMD
Location Address1260 HWY 54 W, SUITE 200Fayetteville, GA 30214
Mailing Address1260 Hwy 54 W, Suite 200Fayetteville, GA 30214 · (770) 461-2101 · Fax (770) 460-1292
Phone(770) 461-2101
Fax(770) 460-1292
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 20, 2012
✔ NPI 1861505141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in GA · 7973
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1260 HWY 54 W, Fayetteville, GA 30214
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Other Identifiers 3

Medicare UPINU22627
Medicare PIN19NCCGCGA
Medicaid000189351BGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Durwood M Johnson Jr. Dmd 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 Durwood Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlanta Oral & Facial Surgery LLC
36 mi
Oral and Maxillofacial Surgery
1000 JOHNSON FERRY RD, BLDG H
Marietta, GA 30068
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1992738165 (770) 977-0364

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

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 Durwood Johnson's NPI number?

The NPI number for Durwood Johnson is 1861505141. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Durwood Johnson located?

Durwood Johnson practices at 1260 Hwy 54 W Suite 200, Fayetteville, GA 30214. The listed phone number is (770) 461-2101.

What is Durwood Johnson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Durwood Johnson enrolled in Medicare?

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

Which organization bills Medicare for Durwood Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Durwood Johnson reassigns Medicare benefits to Atlanta Oral & Facial Surgery LLC (Marietta, 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 Durwood Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Durwood Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Durwood 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 Durwood Johnson was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.