KHADEJA JAMILIA JOHNSON (M.D.) – Internal Medicine Physician, NPI 1003088642

KHADEJA JAMILIA JOHNSON (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 060281 (GA). The NPI Number for KHADEJA JAMILIA JOHNSON (M.D.) is 1003088642

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KHADEJA JAMILIA JOHNSON (M.D.)
NPI
1003088642
Phone
(404) 756-5271
Address
75 PIEDMONT AVE
Enumeration Date
24 March 2008
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043058086
Graduation Year
2005 (21 years ago)
PAC ID
0143390039
Group Practice PAC ID
6002701273
Professional Enrollment ID
I20080604000326
Address ID
GA303443200EA1595XAVEX400

Contacts

Secure Messaging
kjohnson10013@direct.gmh.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for KHADEJA JAMILIA JOHNSON (M.D.)

  • Piedmont Avenue Northeast, Atlanta, Georgia, 30308, United States

    STE. 700

    ATLANTA, GA 303032544

    Phone: (404) 756-5271

    Fax: (404) 756-1402

    Type: Mailing

  • 1800 HOWELL MILL RD NW STE 275

    ATLANTA, GA 303183098

    Phone: (404) 756-1290

    Type: Location

  • 720 WESTVIEW DRIVE SW

    HARRIS BLDG., 100-A

    ATLANTA, GA 30310

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080604000326IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002701273View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
Infectious Disease, Internal MedicineGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
N E U R O L O G YCT
P S Y C H I A T R YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
-GA

Reviews

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Frequently asked questions

Can I cross-check KHADEJA JAMILIA JOHNSON (M.D.) using NPI 1003088642?
NPI 1003088642 belongs to KHADEJA JAMILIA JOHNSON (M.D.); compare other details if you need extra assurance.
Is KHADEJA JAMILIA JOHNSON (M.D.) shown as active in public data?
Registry records indicate KHADEJA JAMILIA JOHNSON (M.D.) maintains an active NPI.
What clinical focus is listed for KHADEJA JAMILIA JOHNSON (M.D.)?
At a glance, KHADEJA JAMILIA JOHNSON (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is KHADEJA JAMILIA JOHNSON (M.D.) registered?
Use Atlanta, Georgia as the headline location for KHADEJA JAMILIA JOHNSON (M.D.) here.
When was this NPI issued?
Enumeration for KHADEJA JAMILIA JOHNSON (M.D.) is noted as March 24, 2008 where the registry provides it.

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