Kevin R Johnson, MD in Gainesville, GA - Pediatrics

Kevin R Johnson, MD is a Pediatrics physician based in Gainesville, Georgia. Kevin R Johnson is licensed to practice in Georgia (license number 031952) and his current practice location is 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 534-5255.

NPI number for Kevin R Johnson is 1215984646 and his current mailing address is 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215984646.

Contact Information

	Kevin R Johnson, MD
	1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806
	(770) 534-5255
	(770) 287-3871

Physician's Profile

Full Name	Kevin R Johnson
Gender	Male
Speciality	Pediatrics
Location	1485 Jesse Jewell Pkwy Ne, Gainesville, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215984646
Provider Enumeration Date: 05/30/2006
Last Update Date: 06/19/2012

Medical Identifiers

Medical identifiers for Kevin R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215984646	NPI	-	NPPES
000612488E	Medicaid	GA
00612488A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	031952 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin R Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kevin R Johnson, MD 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806 Ph: (770) 534-5255	Kevin R Johnson, MD 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501-3806 Ph: (770) 534-5255

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Pediatrics Doctors in Gainesville, GA

Cynthia Aracelly Cabrera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-533-6645 Fax: 770-535-2642
Dr. Kelly Miller Lathem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Heather D Butler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1485 Jesse Jewell Pkwy Ne, Suite 200, Gainesville, GA 30501 Phone: 770-534-5255 Fax: 770-287-3871
Nancy Ellen Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
John V Glisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092
Dr. Varachati Soodjinda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 592 Medical Park Dr, Suite A, Gainesville, GA 30501 Phone: 770-374-0068
Megan Joyce Farley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-535-3611 Fax: 770-535-7092

Kevin R Johnson, MD - Pediatrics in Gainesville, GA