Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1992773626 Deactivated / Inactive NPI Male Practitioner

Dr. Sidney P Johnson , MD

General Practice • Hazlehurst, GA

⚠️

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. Sidney Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2006
NPI Deactivation Date October 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sidney Johnson, MD was a registered General Practice practicing in Hazlehurst, GA. Throughout an active medical career spanning 16 years, Dr. Johnson provided care at the practice location at 11 JOHNSON ST until profile deactivation on 2022-10-12.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection, ceftriaxone sodium, per 250 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11 Johnson St

Hazlehurst, GA 315396243

Telephone 9123752521
Fax 9123752409
Associated Practice Facility / Clinic
🏢 Sidney P Johnson, M.d. P.c Facility NPI 1396934659

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hazlehurst, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Hazlehurst, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.5% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
664 160 $75.00 $65.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg
17 15 $10.00 $0.12

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 10971

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1154975647

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 12, 2022

Record deactivated on October 12, 2022

NPI Profile Active October 22, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2007

Registered at 11 JOHNSON ST, HAZLEHURST, GA 315396243 (Tel: 9123752521)

📍
Updated Business Mailing Address October 22, 2007

Registered at PO BOX 787, HAZLEHURST, GA 315390787 (Tel: 9123752521)

👤
Provider Name / Credentials Updated October 22, 2007

Recorded as SIDNEY JOHNSON, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2007

General Practice (License #10971 in GA)

🟢
Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Sidney Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. Sidney Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1992773626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: October 22, 2007
Deactivation Date: October 12, 2022

Mailing Address

Po Box 787

Hazlehurst, GA 315390787

Phone: 9123752521

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.