KEVIN R. JOHNSON (DO) – Family Medicine Physician, NPI 1992773535

KEVIN R. JOHNSON (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 18376 (MS). The NPI Number for KEVIN R. JOHNSON (DO) is 1992773535

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN R. JOHNSON (DO)
NPI
1992773535
Phone
(870) 934-5821
Address
PO BOX 405827
Enumeration Date
9 March 2006
Last Update Date
10 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6628449376
Graduation Year
2002 (24 years ago)
PAC ID
0446267868
Group Practice PAC ID
6103736665
Professional Enrollment ID
I20060309000542
Address ID
MS388019413TU3411XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

939 FAMILY PRACTICE in MS

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Provider Addresses for KEVIN R. JOHNSON (DO)

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States

    ATLANTA, GA 303845827

    Phone: (870) 934-5821

    Fax: (870) 934-5384

    Type: Mailing

  • 2402, North 5th Street, Arrington Park, Columbus, Lowndes County, Mississippi, 39705, United States

    COLUMBUS, MS 397052000

    Phone: (662) 690-8007

    Fax: (662) 842-4653

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Abbott Laboratories ($41).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2006-03-09

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
I20060309000542IFamily PracticeMSTBD

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 minutes534442$0
J1100Injection, dexamethasone sodium phosphate, 1 mg41296$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza158151$0
96372Injection of drug or substance under skin or into muscle120107$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)7572$0
View full utilization report →

Insurance plans in this area (ZIP 30384)

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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: 6103736665View full group profile
NameSpecialtyState
Internal MedicineMS
O B S T E T R I C S/ G Y N E C O L O G YMS
-MS
-MS
Nurse PractitionerMS
Family PracticeMS
Family PracticeMS
Family PracticeMS
Family PracticeMS
Nurse PractitionerMS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What identifier follows KEVIN R. JOHNSON (DO) across health systems?
The NPI 1992773535 uniquely identifies KEVIN R. JOHNSON (DO) in U.S. healthcare data.
Should I treat KEVIN R. JOHNSON (DO) as an active provider?
Patients and plans typically see KEVIN R. JOHNSON (DO) as active in the national extract.
Which specialty label fits KEVIN R. JOHNSON (DO)?
NPPES ties KEVIN R. JOHNSON (DO) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KEVIN R. JOHNSON (DO) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, KEVIN R. JOHNSON (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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