MR. MARTIN JOHNSON (PA) – Medical Physician Assistant, NPI 1306408455

MR. MARTIN JOHNSON (PA) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MR. MARTIN JOHNSON (PA) is 1306408455

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARTIN JOHNSON (PA)
NPI
1306408455
Phone
(678) 741-5000
Address
711 CANTON ROAD
Enumeration Date
28 June 2019
Last Update Date
28 October 2019

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6787415000
Graduation Year
2019 (7 years ago)
PAC ID
1052740743
Group Practice PAC ID
9335032820
Professional Enrollment ID
I20200331003852
Address ID
GA300601136MA711XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience22
Completeness75
Years active:6State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MR. MARTIN JOHNSON (PA)

  • 711, Canton Road Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    SUITE 300

    MARIETTA, GA 30060

    Phone: (678) 741-5000

    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: 2020-03-31

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
I20200331003852IPhysician AssistantGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 9335032820View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineGA
Internal Medicine, GastroenterologyNV
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
Certified Registered Nurse Anesthetist (Crna)MA
G A S T R O E N T E R O L O G YGA
Internal Medicine, GastroenterologyGA
G A S T R O E N T E R O L O G YGA
Internal Medicine, GastroenterologyNY
Gastroenterology, Internal MedicineGA

Reviews

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Frequently asked questions

What identifier follows MR. MARTIN JOHNSON (PA) across health systems?
The NPI 1306408455 uniquely identifies MR. MARTIN JOHNSON (PA) in U.S. healthcare data.
Is MR. MARTIN JOHNSON (PA)'s NPI status active today?
Active status means MR. MARTIN JOHNSON (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. MARTIN JOHNSON (PA)?
NPPES ties MR. MARTIN JOHNSON (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MR. MARTIN JOHNSON (PA)?
The directory associates MR. MARTIN JOHNSON (PA) with Marietta, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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