Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093995334 Individual Practitioner Female Practitioner

Dr. Shaneeta Johnson , MD

Surgery • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shaneeta Johnson, MD is a certified Surgery practicing in Atlanta, GA. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Johnson delivers high-quality medical care to the local community at 80 JESSE HILL JR DR SE.

Dr. Johnson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

80 Jesse Hill Jr Dr Se

Atlanta, GA 303033031

Telephone 4046161000
Associated Practice Facility / Clinic
🏢 John C. Crawford, Ii Facility NPI 1366409609

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +1.6 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
212 Specialists

Practicing in Atlanta, GA (1046 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (23 Years) 23 Yrs
Atlanta Specialty Average (21.4 Years) 21.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-01-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 068580

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35091547

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License DC MD036166

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003132374A (GA)

Secondary Practice Locations

33 Upper Riverdale Rd Sw, Suite 121

Riverdale, GA 302742626

Phone: 7708977546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Shannon Ike , MD

Internal Medicine - Cardiovascular Disease

NPI 1003155151

Doctor of Medicine (M.D.)

Kayla Hugine

Nurse Practitioner - Acute Care

NPI 1003682360
Selena Kim , CAA

Anesthesiologist Assistant

NPI 1013562883
Julio Lopez-Tenorio

Student in an Organized Health Care Education/Training Program

NPI 1013600543
NPI 1013724251

Bachelor of Science in Nursing, Registered Nurse

Salmaan Kamal

Internal Medicine

NPI 1023505534

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 27, 2021

Registered at 80 JESSE HILL JR DR SE, ATLANTA, GA 303033031 (Tel: 4046161000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2021

Surgery (License #068580 in GA)

📍
Updated Business Mailing Address October 04, 2018

Registered at 720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310 (Tel: 4047561400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Surgery (License #MD036166 in DC)

NPI Profile Active September 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2014

Registered at 33 UPPER RIVERDALE RD SW, SUITE 121, RIVERDALE, GA 302742626 (Tel: 7708977546)

📍
Updated Business Mailing Address September 25, 2014

Registered at 11 UPPER RIVERDALE RD SW, RIVERDALE, GA 302742615 (Tel: 7709963190)

👤
Provider Name / Credentials Updated September 25, 2014

Recorded as SHANEETA JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2014

Surgery (License #068580 in GA)

🟢
Initial NPI Registration & Enumeration November 04, 2007

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: 1093995334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2007
Last Update: January 27, 2021
Sole Proprietor: No

Mailing Address

720 Westview Drive Sw, Harris Bldg., 100-A

Atlanta, GA 30310

Phone: 4047561400

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.