DONOVAN ERIC JOHNSON (M.D.) – Family Medicine Physician, NPI 1316173875

DONOVAN ERIC JOHNSON (M.D.) is a healthcare provider. based in Loganville, Georgia. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 55859 (TN). The NPI Number for DONOVAN ERIC JOHNSON (M.D.) is 1316173875

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DONOVAN ERIC JOHNSON (M.D.)
NPI
1316173875
Phone
(770) 554-4717
Address
115 LEE BYRD ROAD
Enumeration Date
10 June 2009
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704510646
Graduation Year
2014 (12 years ago)
PAC ID
6608171426
Group Practice PAC ID
4587984695
Professional Enrollment ID
I20170719000447
Address ID
GA305425548FL7386XBLVD401

Contacts

Secure Messaging
donovan.johnsonmd.p2@direct.gmg.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

3,103 FAMILY PRACTICE in GA

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Provider Addresses for DONOVAN ERIC JOHNSON (M.D.)

  • Lee Byrd Road, Loganville, Walton County, Georgia, 30052, United States

    LOGANVILLE, GA 30052

    Phone: (770) 554-4717

    Fax: (770) 554-4681

    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: 2017-07-19

PECOS data refreshed: 2026-06-15

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
I20170719000447IFamily PracticeGATBD

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 minutes460284$0
99213Established patient office or other outpatient visit, 20-29 minutes164123$0
87804Detection test by immunoassay with direct visual observation for influenza virus5124$0
81003Automated urinalysis test4237$0
G0008Administration of influenza virus vaccine3939$0
View full utilization report →

Insurance plans in this area (ZIP 30052)

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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: 4587984695View full group profile
NameSpecialtyState
-NJ
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
-GA
Family PracticeGA
Nurse PractitionerGA
Internal Medicine, Emergency MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DONOVAN ERIC JOHNSON (M.D.)?
DONOVAN ERIC JOHNSON (M.D.) — NPI 1316173875 — is the standard way to identify this listing.
Can I rely on DONOVAN ERIC JOHNSON (M.D.) being an active provider?
As of the registry snapshot, DONOVAN ERIC JOHNSON (M.D.) is marked active.
What is DONOVAN ERIC JOHNSON (M.D.)'s specialty?
The listing groups DONOVAN ERIC JOHNSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DONOVAN ERIC JOHNSON (M.D.) based?
DONOVAN ERIC JOHNSON (M.D.) is tied to Loganville, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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