DR. VANN ANDRE JOHNSON (DPM) – Podiatrist, NPI 1902108053

DR. VANN ANDRE JOHNSON (DPM) is a healthcare provider. based in Atlata, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD001162 (GA). The NPI Number for DR. VANN ANDRE JOHNSON (DPM) is 1902108053

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. VANN ANDRE JOHNSON (DPM)
NPI
1902108053
Phone
(678) 426-2171
Address
900 CIRCLE 75 PKWY.
Enumeration Date
23 November 2010
Last Update Date
2 February 2016

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7706145554
Graduation Year
2008 (18 years ago)
PAC ID
7012187727
Group Practice PAC ID
4587646971
Professional Enrollment ID
I20151221001478
Address ID
GA305187524SU4749XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

432 PODIATRY in GA

Provider Addresses for DR. VANN ANDRE JOHNSON (DPM)

  • 900 CIRCLE 75 PKWY.

    STE 900

    ATLATA, GA 303393084

    Phone: (678) 426-2171

    Fax: (404) 446-1957

    Type: Mailing

  • 466 GREEN ST NE

    GAINESVILLE, GA 305013312

    Phone: (770) 534-3668

    Fax: (770) 536-5878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($106).

Total Amount

$275

General + Research + Ownership

Payments

10

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

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: 2015-12-21

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
I20151221001478IPodiatryGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes885315$0
11721Removal of fingernails or toenails, 6 or more nails172107$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16828$0
99203New patient office or other outpatient visit, 30-44 minutes101101$0
11042Removal of skin and tissue, 20.0 sq cm or less6018$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Provider's Procedures

DR. VANN ANDRE JOHNSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA11042Removal of skin and tissue first 20 sq cm or less7923

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: 4587646971View full group profile
NameSpecialtyState
P O D I A T R YMA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YTN
P O D I A T R YGA
P O D I A T R YFL
-GA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA

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Frequently asked questions

How do I look up DR. VANN ANDRE JOHNSON (DPM) by NPI?
Use NPI 1902108053 when you need to reference DR. VANN ANDRE JOHNSON (DPM) in forms, claims, or directories.
Is DR. VANN ANDRE JOHNSON (DPM)'s NPI currently valid?
The extract we use shows DR. VANN ANDRE JOHNSON (DPM) as active.
What does DR. VANN ANDRE JOHNSON (DPM) treat or focus on?
Patients typically see DR. VANN ANDRE JOHNSON (DPM) under the specialty Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. VANN ANDRE JOHNSON (DPM)?
We surface Atlata, Georgia for DR. VANN ANDRE JOHNSON (DPM) 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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