ANITA JOHNSON (M.D.) – Surgical Oncology Physician, NPI 1457401630

ANITA JOHNSON (M.D.) is a healthcare provider. based in Woodstock, Georgia. specializing in SURGICAL ONCOLOGY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 53464 (GA). The NPI Number for ANITA JOHNSON (M.D.) is 1457401630

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
ANITA JOHNSON (M.D.)
NPI
1457401630
Phone
(678) 445-0976
Address
120 N MEDICAL PKWY BLDG 100
Enumeration Date
11 January 2007
Last Update Date
31 December 2009

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
9128197630
Graduation Year
1994 (32 years ago)
PAC ID
2769465772
Group Practice PAC ID
8426086901
Professional Enrollment ID
I20040610001138
Address ID
GA314056089SA5353XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

79 SURGICAL ONCOLOGY in GA

Provider Addresses for ANITA JOHNSON (M.D.)

  • 120 N MEDICAL PKWY BLDG 100

    SUITE 201

    WOODSTOCK, GA 301897062

    Phone: (678) 445-0976

    Type: Location

  • Canton Post Office, 234A, Cowbridge Road East, Canton, Cardiff, Wales, CF5 1XB, United Kingdom

    CANTON, GA 301140250

    Phone: (678) 445-0976

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $17,697.

Total Amount is formed as General ($17,697) + Research ($0) + Ownership ($0) = $17,697.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16,960).

Total Amount

$17,697

General + Research + Ownership

Payments

25

Total payment records

General Amount

$17,697

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2004-06-10

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
I20040610001138ISurgical OncologyGATBD

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 minutes1712$0
19301Partial removal of breast1414$0
38900Imaging of lymph nodes during surgery1313$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 30189)

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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: 8426086901View full group profile

Reviews

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Frequently asked questions

Is ANITA JOHNSON (M.D.) listed with a National Provider Identifier?
Yes — ANITA JOHNSON (M.D.) has NPI 1457401630 on file in the registry.
Is there an active status for ANITA JOHNSON (M.D.)?
For scheduling context, ANITA JOHNSON (M.D.) is shown as active in the registry.
What area of care is associated with ANITA JOHNSON (M.D.)?
ANITA JOHNSON (M.D.)'s record emphasizes Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Is ANITA JOHNSON (M.D.) located near Woodstock?
ANITA JOHNSON (M.D.) currently maps to Woodstock, Georgia in this extract.
Can I trust this NPI listing for ANITA JOHNSON (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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