KIM WALDEN JOHNSTON (M.D.) – Neurological Surgery Physician, NPI 1417994096

KIM WALDEN JOHNSTON (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 024443 (GA). The NPI Number for KIM WALDEN JOHNSTON (M.D.) is 1417994096

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
KIM WALDEN JOHNSTON (M.D.)
NPI
1417994096
Phone
(478) 743-7092
Address
840 PINE ST STE 880
Enumeration Date
1 June 2006
Last Update Date
13 January 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4787437092
Graduation Year
1981 (45 years ago)
PAC ID
4284723354
Group Practice PAC ID
7517958234
Professional Enrollment ID
I20100127000394
Address ID
GA312017525MA840XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

187 NEUROSURGERY in GA

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Provider Addresses for KIM WALDEN JOHNSTON (M.D.)

  • 840 PINE ST STE 880

    MACON, GA 312017525

    Phone: (478) 743-7092

    Fax: (478) 743-6293

    Type: Mailing

  • 840, Pine Street, Macon, Bibb County, Georgia, 31201, United States

    SUITE 880

    MACON, GA 312012100

    Phone: (478) 743-7092

    Fax: (478) 743-6293

    Type: Location

  • 5900, Rivoli Drive, Woodcrest, Lorane, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312101451

    Phone: (478) 743-7092

    Fax: (478) 743-7320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: DJO, LLC ($59).

Total Amount

$267

General + Research + Ownership

Payments

13

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-11-06

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: 2010-01-27

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
I20100127000394INeurosurgeryGATBD

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
A9585Injection, gadobutrol, 0.1 ml2,75029$0
99213Established patient office or other outpatient visit, 20-29 minutes245159$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15685$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13213$0
99214Established patient office or other outpatient visit, 30-39 minutes10989$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Provider's Procedures

KIM WALDEN JOHNSTON (M.D.) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYGA62311Injections of substances into lower or sacral spine6137
NEUROSURGERYGA63048Partial removal of spine bone with release of spinal cord and/or nerves3422

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: 7517958234View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
N E U R O S U R G E R YGA
Physician AssistantGA
Nurse PractitionerGA
N E U R O L O G YIA
-GA
Physician AssistantGA
Physical Therapist In Private PracticeGA

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Frequently asked questions

What NPI should I save for KIM WALDEN JOHNSTON (M.D.)?
Save NPI 1417994096 if you need a stable reference for KIM WALDEN JOHNSTON (M.D.).
Does this profile mean KIM WALDEN JOHNSTON (M.D.) is currently active?
Yes — KIM WALDEN JOHNSTON (M.D.) appears active in the national provider directory.
What field does KIM WALDEN JOHNSTON (M.D.) work in?
You can think of KIM WALDEN JOHNSTON (M.D.) as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for KIM WALDEN JOHNSTON (M.D.)?
We surface Macon, Georgia for KIM WALDEN JOHNSTON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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