DR. KELLEY MARSHALL JOHNSON MD
NPI 1962475582
Radiology - Pediatric Radiology in Atlanta, GA

Active since February 13, 2006PECOS Enrolled
7795 LANDOWNE DR, ATLANTA, GA 30350(770) 730-8535(770) 730-8535 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelley Marshall Johnson Md NPPES

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

DR. KELLEY MARSHALL JOHNSON MD (NPI 1962475582) is an individual pediatric radiology provider in Atlanta, Georgia, licensed in Georgia (48372) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962475582
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameDR. KELLEY MARSHALL JOHNSONCredential: MD
Location Address7795 LANDOWNE DRAtlanta, GA 30350-1063
Mailing AddressChildren's Healthcare Of Atlanta, 2220 North Druid Hills Road Ne-department Of RadiologyAtlanta, GA 30329 · (404) 785-6532 · Fax (770) 730-8535
Fax(770) 730-8535
Sole ProprietorYes
Enumeration DateFebruary 13, 2006
Last NPPES UpdateApril 21, 2025
NPI 1962475582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses Licensed in GA · 48372 Licensed in GA · 048372
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
7795 LANDOWNE DR, Atlanta, GA 30350

Other Names 1

Former Name (1)Dr. Kelley Woodruff Marshall Md

Other Identifiers 8

Other7100044200KY · Ky Medicaid-norton
Other000023033OKY · Humana/norton
Other50019563KY · Passport/norton
Other000000568993KY · Anthem/norton
Other00533044KY · Medicare
Other096946KY · Siho/norton
Medicaid200928350IN
Medicaid000852893GA

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. Kelley Marshall Johnson Md 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.

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 Kelley Johnson's NPI number?

The NPI number for Kelley Johnson is 1962475582. It was assigned to this individual provider in the NPPES registry on February 13, 2006. The provider is also known as Dr. Kelley Woodruff Marshall MD.

Where is Kelley Johnson located?

Kelley Johnson practices at 7795 Landowne Dr, Atlanta, GA 30350. The listed phone number is (770) 730-8535.

What is Kelley Johnson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Kelley Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelley Johnson was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.