Kevin Mark Johnson, is a medicare enrolled "Nurse Practitioner - Family" provider in East Point, Georgia. His current practice location is
1170 Cleveland Ave, East Point, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 466-1249.
Kevin Mark Johnson is licensed to practice in Georgia (license number RN171627) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508515917.
Healthcare Provider's Profile
| Full Name | Kevin Mark Johnson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1170 Cleveland Ave, East Point, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Mark Johnson attended and graduated from in
NPI Data:
- NPI Number: 1508515917
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508515917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN171627 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Mark Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Mark Johnson,
106 Cherry Hill Ln,
Stockbridge, GA 30281-7359
Ph: (770) 789-8956 | Kevin Mark Johnson,
1170 Cleveland Ave,
East Point, GA 30344-3615
Ph: (404) 466-1249 |
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