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Deactivated NPI 1164615712 Deactivated / Inactive NPI Male Practitioner

Ronald Johnson

Physician Assistant • Lithonia, 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, Ronald Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 27, 2007
NPI Deactivation Date November 29, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Ronald Johnson was a registered Physician Assistant practicing in Lithonia, GA. Throughout an active medical career spanning 14 years, Ronald Johnson provided care at the practice location at 1518 SAINT DUNSTANS RD until profile deactivation on 2021-11-29.

Practice Location & Contact Primary Location

Practice Address

1518 Saint Dunstans Rd

Lithonia, GA 300585632

Telephone 7705593790

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Lithonia, GA (4726 Statewide)

Telehealth Adoption Rate
10.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 November 29, 2021

Record deactivated on November 29, 2021

NPI Profile Active August 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2007

Registered at 1518 SAINT DUNSTANS RD, LITHONIA, GA 300585632 (Tel: 7705593790)

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Updated Business Mailing Address August 27, 2007

Registered at 1518 SAINT DUNSTANS RD, LITHONIA, GA 300585632 (Tel: 7705593790)

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Provider Name / Credentials Updated August 27, 2007

Recorded as RONALD JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2007

Physician Assistant

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Initial NPI Registration & Enumeration August 27, 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: 1164615712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2007
Last Update: August 27, 2007
Deactivation Date: November 29, 2021

Mailing Address

1518 Saint Dunstans Rd

Lithonia, GA 300585632

Phone: 7705593790

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.