DR. WILLIAM KENT JOHNSON M.D. NPI 1154385193

NPI Information

NPI: 1154385193
Provider Name: DR. WILLIAM KENT JOHNSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
4350 TOWNE CENTRE DR
SUITE 1000
EVANS, GA
ZIP 30809
Phone: (706) 868-3940
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DR. William Kent Johnson, M.D. is a diagnostic radiology radiology in Evans, GA with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. William Kent Johnson, M.D. NPI is 1154385193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

4350 TOWNE CENTRE DR
SUITE 1000
EVANS, GA
ZIP 30809-301
Phone: (706) 868-3940

The NPI 1154385193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085D0003X	Radiology	Diagnostic Neuroimaging	037245	GEORGIA	No
2	2085B0100X	Radiology	Body Imaging	037245	GEORGIA	No
3	2085N0700X	Radiology	Neuroradiology	037245	GEORGIA	No
4	2085N0904X	Radiology	Nuclear Radiology	037245	GEORGIA	No
5	2085P0229X	Radiology	Pediatric Radiology	037245	GEORGIA	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	037245	GEORGIA	No
7	2085R0202X	Radiology	Diagnostic Radiology	037245	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10058795	OTHER		AMERIGROUP
2	300033749	MEDICARE PIN	GEORGIA
3	1265540314	OTHER		NPI - BROWN & RADIOLOGY
4	00517569C	MEDICAID	GEORGIA
5	00517569D	MEDICAID	GEORGIA
6	G38570	MEDICAID	SOUTH CAROLINA
7	00517569B	MEDICAID	GEORGIA
8	451451	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
9	30BDDPG	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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