KEVIN FOUNTAIN JOHNSON (M.D.) – Diagnostic Radiology Physician, NPI 1215137385

KEVIN FOUNTAIN JOHNSON (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. LL29904 (SC). The NPI Number for KEVIN FOUNTAIN JOHNSON (M.D.) is 1215137385

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN FOUNTAIN JOHNSON (M.D.)
NPI
1215137385
Phone
(706) 721-2076
Address
1120 15TH ST
Enumeration Date
18 July 2007
Last Update Date
5 April 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7062787224
Graduation Year
2007 (19 years ago)
PAC ID
9032357942
Group Practice PAC ID
9032103296
Professional Enrollment ID
I20130605000501
Address ID
GA307203093DA1407XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for KEVIN FOUNTAIN JOHNSON (M.D.)

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    BA-1414

    AUGUSTA, GA 309120004

    Phone: (706) 721-2076

    Mailing address matches the actual address.

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: 2013-06-05

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
I20130605000501IDiagnostic RadiologyGATBD

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
71045X-ray of chest, 1 view1,7241,147$0
70450Ct scan head or brain without contrast379344$0
71046X-ray of chest, 2 views305295$0
77067Screening mammography268268$0
77063Screening 3d breast mammography267267$0
View full utilization report →

Insurance plans in this area (ZIP 30912)

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Provider's Procedures

KEVIN FOUNTAIN JOHNSON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA20610Aspiration and/or injection of large joint or joint capsule1111
DIAGNOSTIC RADIOLOGYGA73562X-ray of knee, 3 views10888
DIAGNOSTIC RADIOLOGYGA77012Radiological supervision and interpretation of CT guidance for needle insertion2525

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: 9032103296View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyCT
Diagnostic RadiologyMN
Diagnostic RadiologyDC
Diagnostic RadiologyGA
Diagnostic RadiologyMN
Diagnostic RadiologyIN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Where can patients find KEVIN FOUNTAIN JOHNSON (M.D.)'s NPI?
You can confirm KEVIN FOUNTAIN JOHNSON (M.D.) with NPI 1215137385; it appears in the national provider directory.
Does this profile mean KEVIN FOUNTAIN JOHNSON (M.D.) is currently active?
Yes — KEVIN FOUNTAIN JOHNSON (M.D.) appears active in the national provider directory.
What field does KEVIN FOUNTAIN JOHNSON (M.D.) work in?
You can think of KEVIN FOUNTAIN JOHNSON (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KEVIN FOUNTAIN JOHNSON (M.D.)?
We surface Augusta, Georgia for KEVIN FOUNTAIN JOHNSON (M.D.) based on available NPPES addresses.
What if Augusta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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