DR. JACKIE H JR. JOHNSON (MD) – Ophthalmology Physician, NPI 1679707541
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
Provider Addresses for DR. JACKIE H JR. JOHNSON (MD)
1011 N 4th St
Cordele, GA 310153660
Phone: (229) 273-0435
Fax: (229) 273-4665
Type: Location
Warner Robins Post Office, South Young Avenue, Warner Robins, Houston County, Georgia, 31098, United States
WARNER ROBINS, GA 31095
Phone: (478) 923-5872
Fax: (478) 929-6266
Type: Mailing
216, Corder Road, Wrights Mill, Warner Robins, Houston County, Georgia, 31088, United States
WARNER ROBINS, GA 31088
Phone: (478) 923-5872
Fax: (478) 929-6266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $915.
Total Amount is formed as General ($915) + Research ($0) + Ownership ($0) = $915.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($426).
Total Amount
$915
General + Research + Ownership
Payments
33
Total payment records
General Amount
$915
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
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: 2013-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130812000580 | I | Ophthalmology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92136 | Measurement of corneal curvature and depth of eye | 623 | 390 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 617 | 355 | $0 |
| 92250 | Photography of the retina | 342 | 341 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 224 | 224 | $0 |
| 92286 | Imaging of front third of eye using a special microscope | 188 | 188 | $0 |
Insurance plans in this area (ZIP 31015)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | GA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 181 | 147 |
| OPHTHALMOLOGY | GA | 92083 | Measurement of field of vision during daylight conditions | 38 | 35 |
| OPHTHALMOLOGY | GA | 92134 | Diagnostic imaging of retina | 484 | 274 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| Physician Assistant | GA |
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