| Dr Kelley Marshall Johnson, MD | |
|
7795 Landowne Dr, Atlanta, GA 30350-1063 | |
| (770) 730-8535 | |
| (770) 730-8535 |
| Full Name | Dr Kelley Marshall Johnson |
|---|---|
| Gender | Female |
| Speciality | Radiology - Pediatric Radiology |
| Location | 7795 Landowne Dr, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962475582 | NPI | - | NPPES |
| 7100044200 | Other | KY | KY MEDICAID-NORTON |
| 000023033O | Other | KY | HUMANA/NORTON |
| 50019563 | Other | KY | PASSPORT/NORTON |
| 000000568993 | Other | KY | ANTHEM/NORTON |
| 00533044 | Other | KY | MEDICARE |
| 096946 | Other | KY | SIHO/NORTON |
| 200928350 | Medicaid | IN | |
| 000852893 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | 048372 (Georgia) | Secondary |
| 2085P0229X | Radiology - Pediatric Radiology | 48372 (Georgia) | Primary |
| Entity Name | Choa Hospital Based, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695488 PECOS PAC ID: 4688812498 Enrollment ID: O20130605000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley Marshall Johnson, MD Children's Healthcare Of Atlanta, 2220 North Druid Hills Road Ne-department Of Radiology, Atlanta, GA 30329 Ph: (404) 785-6532 | Dr Kelley Marshall Johnson, MD 7795 Landowne Dr, Atlanta, GA 30350-1063 Ph: (770) 730-8535 |
Omar Nabil Kallas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Road, Department Of Radiology And Imaging Sciences, Atlanta, GA 30322 Phone: 404-778-3900 | |
Dr. Bijan Ghorashi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 606-666-6107 | |
Dr. George Oren Atkinson Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Emory University Hospital, 1364 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6547 Fax: 404-785-1216 | |
Dr. Fabio P Esteves, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322 Phone: 404-778-5586 | |
Amy J Figueroa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-8000 | |
Debora Lou Coursey-prah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1968 Peachtree Rd Nw, Radiology Department, Atlanta, GA 30309 Phone: 404-605-5000 | |
Sachin Parikh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Breast Imaging Center, Winship C, Atlanta, GA 30322 Phone: 404-778-1856 Fax: 404-712-7561 |