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Deactivated NPI 1780745687 Deactivated / Inactive NPI Male Practitioner

Dr. Eric Keith Johnson , MD

Colon & Rectal Surgery • Ft. Gordon, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eric Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date February 14, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Eric Johnson, MD was a registered Colon & Rectal Surgery practicing in Ft. Gordon, GA. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at EISENHOWER ARMY MEDICAL CENTER until profile deactivation on 2024-02-14.

Historical Medicare Part B clinical services included biopsy of large bowel using an endoscope, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

Eisenhower Army Medical Center
Department Of Surgery - Bldg 300 Hospital Way

Ft. Gordon, GA 30905

Telephone 7067872248
Fax 7067872347

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Ft. Gordon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Ft. Gordon, GA (81 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45380 Biopsy of large bowel using an endoscope
19 19 $906.74 $148.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $88.47 $75.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $169.00 $166.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
11 11 $684.91 $171.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
11 11 $991.00 $247.84

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License GA 49300

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. David Modlin , MD

Plastic Surgery

NPI 1558714139

Doctor of Medicine (M.D.)

NPI 1598147068

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at EISENHOWER ARMY MEDICAL CENTER, DEPARTMENT OF SURGERY - BLDG 300 HOSPITAL WAY, FT. GORDON, GA 30905 (Tel: 7067872248)

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Updated Business Mailing Address July 08, 2007

Registered at 224 OLEANDER TRAIL, EVANS, GA 30809 (Tel: 7064478688)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ERIC JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Colon & Rectal Surgery (License #49300 in GA)

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Initial NPI Registration & Enumeration December 13, 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: 1780745687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Deactivation Date: February 14, 2024

Mailing Address

224 Oleander Trail

Evans, GA 30809

Phone: 7064478688

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.