ROSHAWN JOHNSON – Internal Medicine Physician, NPI 1134758972

ROSHAWN JOHNSON is a healthcare provider. based in Macon, Georgia. specializing in INTERNAL MEDICINE. They hold a License No. 94982 (GA). The NPI Number for ROSHAWN JOHNSON is 1134758972

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ROSHAWN JOHNSON
NPI
1134758972
Phone
(478) 633-7550
Address
777 HEMLOCK ST # 104
Enumeration Date
3 April 2020
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4786337444
Graduation Year
2020 (6 years ago)
PAC ID
2961867098
Group Practice PAC ID
9234104019
Professional Enrollment ID
I20230425002032
Address ID
GA312012102MA777XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for ROSHAWN JOHNSON

  • 777 HEMLOCK ST # 104

    MACON, GA 312012102

    Phone: (478) 633-7550

    Fax: (478) 633-3235

    Type: Mailing

  • 4853 ROCK HILL SPRING CT

    ELLENWOOD, GA 302942068

    Phone:

    Type: Mailing

  • 720 WESTVIEW DR SW

    ATLANTA, GA 303101458

    Phone: (404) 756-1311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $379.

Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($166).

Total Amount

$379

General + Research + Ownership

Payments

15

Total payment records

General Amount

$379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-25

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
I20230425002032IInternal 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10448$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6926$0
99239Hospital discharge day management, more than 30 minutes2020$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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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: 9234104019View full group profile
NameSpecialtyState
Internal MedicineGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Internal MedicineGA
Family PracticeIL
Hospitalist, Internal MedicineGA
Internal MedicinePA

Reviews

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Frequently asked questions

How do payers reference ROSHAWN JOHNSON?
For ROSHAWN JOHNSON, use NPI 1134758972 as the unique 10-digit identifier.
Is ROSHAWN JOHNSON still an active registrant?
ROSHAWN JOHNSON carries an active NPI according to the public dataset.
What clinical focus is listed for ROSHAWN JOHNSON?
At a glance, ROSHAWN JOHNSON is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is ROSHAWN JOHNSON registered?
Use Macon, Georgia as the headline location for ROSHAWN JOHNSON here.
Does ROSHAWN JOHNSON accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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