Mr Miles D Johnson, MD in Fayetteville, GA

Mr Miles D Johnson, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Georgia. His current practice location is 150 Fiddlers Rdg, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 664-4578.

Mr Miles D Johnson is licensed to practice in Georgia (license number 038817) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568419844.

Contact Information

	Mr Miles D Johnson, MD
	150 Fiddlers Rdg, Fayetteville, GA 30214-2684
	(404) 664-4578
	(770) 991-5012

Map and Direction

Physician's Profile

Full Name	Mr Miles D Johnson
Gender	Male
Speciality	Family Medicine
Location	150 Fiddlers Rdg, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568419844
Provider Enumeration Date: 05/30/2006
Last Update Date: 04/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2466437157
Enrollment ID: I20040618000358

Medical Identifiers

Medical identifiers for Mr Miles D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568419844	NPI	-	NPPES
00622729G	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	038817 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Miles D Johnson allows following entities to bill medicare on his behalf.

Entity Name	Changing Phases Behavioral Support Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497094205 PECOS PAC ID: 4183978729 Enrollment ID: O20181116001202

Entity Name	Comprehensive Primary And Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770097719 PECOS PAC ID: 8921341082 Enrollment ID: O20190514000911

Entity Name	Beyond Your Ordinary, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396365094 PECOS PAC ID: 6204250988 Enrollment ID: O20200728002573

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. Mr Miles D 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
Mr Miles D Johnson, MD 2600 Martin Luther King Jr Dr Sw, Ste 100, Atlanta, GA 30311-1636 Ph: (678) 556-9460	Mr Miles D Johnson, MD 150 Fiddlers Rdg, Fayetteville, GA 30214-2684 Ph: (404) 664-4578

Reviews and Comments

Family Medicine Doctors in Fayetteville, GA

Dr. Viviana Ines Goldenberg, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214 Phone: 678-610-3700 Fax: 770-631-2415
Dr. Frank Alena, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000 Fax: 404-588-2624
Mr. Derek Collins Ii, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Johnson Ave, Fayetteville, GA 30214 Phone: 912-283-5260
Dr. William Collins, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000
Dr. William Clint Adcox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Genevieve Ct Ste A, Fayetteville, GA 30215 Phone: 770-486-1818 Fax: 770-486-7303
Rodshawnda D Franklin, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Carnegie Pl Ste 101, Fayetteville, GA 30214 Phone: 404-591-5027 Fax: 770-507-1962
Prof. Mukti Bhatia Kanji, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214 Phone: 770-460-4285 Fax: 770-460-4319

Mr Miles D Johnson, MD - Medicare Family Medicine in Fayetteville, GA