DR. WILLIAM HOLLAND JR. JOHNSON (MD) – Surgery Physician, NPI 1669422010

DR. WILLIAM HOLLAND JR. JOHNSON (MD) is a healthcare provider. based in Suwanee, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 057867 (GA). The NPI Number for DR. WILLIAM HOLLAND JR. JOHNSON (MD) is 1669422010

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM HOLLAND JR. JOHNSON (MD)
NPI
1669422010
Phone
(770) 232-2911
Address
3890 JOHNS CREEK PKWY
Enumeration Date
10 May 2006
Last Update Date
8 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702322911
Graduation Year
2000 (26 years ago)
PAC ID
5294760716
Group Practice PAC ID
8426061722
Professional Enrollment ID
I20060802000360
Address ID
GA300246675SU6920XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for DR. WILLIAM HOLLAND JR. JOHNSON (MD)

  • 3890 JOHNS CREEK PKWY

    SUITE 240

    SUWANEE, GA 300241284

    Phone: (770) 232-2911

    Fax: (770) 232-2996

    Type: Location

  • 6920 MCGINNIS FERRY RD STE 340

    SUWANEE, GA 300246675

    Phone: (770) 232-2911

    Fax: (770) 232-2996

    Type: Location

  • 3005, Broomsedge Way, Fieldstone by the Eno, Durham, Durham County, North Carolina, 27712, United States

    DURHAM, NC 277123022

    Phone: (919) 309-1480

    Type: Mailing

  • 9710 ALMAVIVA DR

    JOHNS CREEK, GA 300224989

    Phone: (404) 983-6759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $491.

Total Amount is formed as General ($491) + Research ($0) + Ownership ($0) = $491.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($243).

Total Amount

$491

General + Research + Ownership

Payments

12

Total payment records

General Amount

$491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2006-08-02

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
I20060802000360IGeneral SurgeryGATBD

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
93971Ultrasound study of one arm or leg veins with compression and maneuvers6622$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance4012$0
93970Ultrasound study of arm or leg veins with compression and maneuvers3625$0
99214Established patient office or other outpatient visit, 30-39 minutes3524$0
99213Established patient office or other outpatient visit, 20-29 minutes3127$0
View full utilization report →

Insurance plans in this area (ZIP 30024)

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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: 8426061722View full group profile
NameSpecialtyState
General SurgeryGA
General SurgeryGA
General SurgeryGA

Reviews

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Frequently asked questions

Can I cross-check DR. WILLIAM HOLLAND JR. JOHNSON (MD) using NPI 1669422010?
NPI 1669422010 belongs to DR. WILLIAM HOLLAND JR. JOHNSON (MD); compare other details if you need extra assurance.
Is DR. WILLIAM HOLLAND JR. JOHNSON (MD) still an active registrant?
DR. WILLIAM HOLLAND JR. JOHNSON (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. WILLIAM HOLLAND JR. JOHNSON (MD)?
DR. WILLIAM HOLLAND JR. JOHNSON (MD)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WILLIAM HOLLAND JR. JOHNSON (MD)?
Directory geography for DR. WILLIAM HOLLAND JR. JOHNSON (MD) centers on Suwanee, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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