Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669563029 Individual Practitioner Male Practitioner

Dr. Peter Charles Johnson , MD

Specialist • Athens, GA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Johnson, MD is a registered healthcare professional specializing in Specialist in Athens, GA. Practice services are available at 965 HAWTHORNE PRK. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

965 Hawthorne Prk.
Suite 100a

Athens, GA 30086

Telephone 7063691200
Fax 7063690540
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.3 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Athens, GA (979 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 034378

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000483755M (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2008

Registered at 965 HAWTHORNE PRK., SUITE 100A, ATHENS, GA 30086 (Tel: 7063691200)

📍
Updated Business Mailing Address May 05, 2008

Registered at PO BOX 1390, STONE MOUNTAIN, GA 300861390 (Tel: 7063691200)

👤
Provider Name / Credentials Updated May 05, 2008

Recorded as PETER JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2008

Specialist (License #034378 in GA)

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669563029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: May 05, 2008
Sole Proprietor: No

Mailing Address

Po Box 1390

Stone Mountain, GA 300861390

Phone: 7063691200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.