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Deactivated NPI 1427277748 Deactivated / Inactive NPI Male Practitioner

Dr. Cory Jerome Johnson , DDS

Dentist - General Practice • Morrow, 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. Cory Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2007
NPI Deactivation Date March 13, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Cory Johnson, DDS was a registered Dentist - General Practice practicing in Morrow, GA. Throughout an active medical career spanning 11 years, Dr. Johnson provided care at the practice location at 1483 JOHN ROBERT DR until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

1483 John Robert Dr
Suite B

Morrow, GA 302601772

Telephone 7709618300
Fax 7709615040
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Morrow, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Morrow, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN011777

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Sherrie Smith-Scott , DDS

Dentist - General Practice

NPI 1922158625

Doctor of Dental Surgery

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 March 13, 2018

Record deactivated on March 13, 2018

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 1483 JOHN ROBERT DR, SUITE B, MORROW, GA 302601772 (Tel: 7709618300)

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Updated Business Mailing Address July 08, 2007

Registered at 1483 JOHN ROBERT DR, SUITE B, MORROW, GA 302601772 (Tel: 7709618300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CORY JOHNSON, DDS

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

Dentist (License #DN011777 in GA)

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Initial NPI Registration & Enumeration April 25, 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: 1427277748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Deactivation Date: March 13, 2018

Mailing Address

1483 John Robert Dr, Suite B

Morrow, GA 302601772

Phone: 7709618300

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.