Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790786820 Individual Practitioner Male Practitioner

Dr. Kenneth Allan Johnson , MD

Orthopaedic Surgery • Statesboro, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Johnson, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Statesboro, GA. Practice services are available at 1601 FAIR RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 Fair Rd
Suite 300

Statesboro, GA 304581698

Telephone 9128716742
Fax 9128712563
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Statesboro, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Statesboro, GA (797 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.8% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 14 $64.85 $25.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 14 $154.20 $78.04

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 037577

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00572041A (GA)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Laurie Colyer , PT

Physical Therapist

NPI 1053447946

Physical Therapist

John Kimes , PT

Physical Therapist

NPI 1104806843

Physical Therapist

Christy Byczkoski , FNP

Nurse Practitioner - Family

NPI 1104979954

Family Nurse Practitioner

Mark Leszczynski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1326067836

Certified Registered Nurse Anesthetist

Dr. Saraju Dalsania , MD

Internal Medicine

NPI 1346420494

Doctor of Medicine (M.D.)

Dr. Thad Long , MD

Radiology - Diagnostic Radiology

NPI 1427050368

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2014

Registered at 1601 FAIR RD, SUITE 300, STATESBORO, GA 304581698 (Tel: 9128716742)

📍
Updated Business Mailing Address July 07, 2014

Registered at 127 OAK RIDGE DR, STATESBORO, GA 304589135 (Tel: 9128716742)

👤
Provider Name / Credentials Updated July 07, 2014

Recorded as KENNETH JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Orthopaedic Surgery (License #037577 in GA)

🟢
Initial NPI Registration & Enumeration August 10, 2005

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: 1790786820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: July 07, 2014
Sole Proprietor: No

Mailing Address

127 Oak Ridge Dr

Statesboro, GA 304589135

Phone: 9128716742

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.