Mr Carl David Johnson Iii, MD in Tifton, GA

Mr Carl David Johnson Iii, MD is a medicare enrolled "Family Medicine" physician in Tifton, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Privia Medical Group Of Georgia Llc and his current practice location is 612 Love Ave, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 391-3300.

Mr Carl David Johnson Iii is licensed to practice in Georgia (license number 28796) 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 1023018561.

Contact Information

	Mr Carl David Johnson Iii, MD
	612 Love Ave, Tifton, GA 31794
	(229) 391-3300
	(229) 388-1948

Map and Direction

Physician's Profile

Full Name	Mr Carl David Johnson Iii
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	612 Love Ave, Tifton, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Carl David Johnson Iii attended and graduated from Medical College Of Georgia School Of Medicine in 1985

NPI Data:

NPI Number: 1023018561
Provider Enumeration Date: 07/27/2005
Last Update Date: 05/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4688869704
Enrollment ID: I20101115000206

Medical Identifiers

Medical identifiers for Mr Carl David Johnson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023018561	NPI	-	NPPES
000375251E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	28796 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Tifton, GA	Home health agency
Georgia Home Health Services	Valdosta, GA	Home health agency
Tift Regional Medical Center	Tifton, GA	Hospital
Cook Medical Center A Campus Of Tift Reg Med Ctr	Adel, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Of Georgia Llc	4284951542	332

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 Carl David Johnson Iii allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

Entity Name	Homestead Hospice Of South Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811635253 PECOS PAC ID: 8022372549 Enrollment ID: O20220722002642

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 Carl David Johnson Iii 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 Carl David Johnson Iii, MD 612 Love Ave, Tifton, GA 31794 Ph: (229) 391-3300	Mr Carl David Johnson Iii, MD 612 Love Ave, Tifton, GA 31794 Ph: (229) 391-3300

Reviews and Comments

Family Medicine Doctors in Tifton, GA

Benjamin R Hess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
Troy A Clifton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6051
Dr. Catherine Rae Cravey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-4325
Robert J Hawes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
Dr. Norris Kent Burton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 907 18th St E, Suite 140, Tifton, GA 31794 Phone: 229-353-4325
Dr. Parviz Brahman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Tift Ave N Ste D, Tifton, GA 31794 Phone: 229-382-5554 Fax: 229-382-0530

Mr Carl David Johnson Iii, MD - Medicare Family Practice in Tifton, GA