DR. KEVIN EARL JOHNSON (MD) – Family Medicine Physician, NPI 1336138809
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. KEVIN EARL JOHNSON (MD)
665, Duluth Highway, Lawrenceville, Gwinnett County, Georgia, 30046, United States
SUITE 501
LAWRENCEVILLE, GA 300463328
Phone: (678) 312-0400
Type: Mailing
PO BOX 60447
CHARLOTTE, NC 282600447
Phone: (336) 969-9158
Fax: (336) 969-4554
Type: Mailing
290 W WALL ST
RURAL HALL, NC 270459308
Phone: (336) 969-9158
Fax: (336) 969-4554
Type: Location
3409 Thomasville Rd
Winston Salem, NC 271075438
Phone: (743) 229-3300
Fax: (743) 229-3324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($147).
Total Amount
$261
General + Research + Ownership
Payments
7
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $147 |
| Novo Nordisk Inc | $47 |
| PFIZER INC. | $25 |
| Braeburn Inc. | $24 |
| IRONWOOD PHARMACEUTICALS, INC | $17 |
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: 2014-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060727000092 | I | Family Practice | NC | TBD |
| I20140228000363 | I | Family Practice | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Hospitalist, Internal Medicine | AR | |
| - | NC | |
| - | NC | |
| - | NC |
Reviews
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