Donovan Eric Johnson, MD is a medicare enrolled "Family Medicine" in Loganville, Georgia. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Health Choice Urgent Care, Llc, Gwinnett Physician Group, Llc and his current practice location is
115 Lee Byrd Road, Loganville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 554-4717.
Donovan Eric Johnson is licensed to practice in Georgia (license number 007034) 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 1316173875.
Provider's Profile
Full Name | Donovan Eric Johnson |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 10 Years |
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Location | 115 Lee Byrd Road, Loganville, 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. |
Medical Education and Training:
- Donovan Eric Johnson graduated from nursing school in 2014
NPI Data:
- NPI Number: 1316173875
- Provider Enumeration Date: 06/10/2009
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608171426
- Enrollment ID: I20170719000447
Medical Identifiers
Medical identifiers for Donovan Eric Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316173875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 55859 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 007034 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Health Choice Urgent Care, Llc | 1951690213 | 29 |
Gwinnett Physician Group, Llc | 9133211139 | 89 |
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. Donovan Eric Johnson allows following entities to bill medicare on his behalf.
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
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Entity Name | Health Choice Urgent Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679948988 PECOS PAC ID: 1951690213 Enrollment ID: O20160510001919 |
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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. Donovan Eric 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 |
Donovan Eric Johnson, MD 115 Lee Byrd Road, Loganville, GA 30052 Ph: (770) 554-4717 | Donovan Eric Johnson, MD 115 Lee Byrd Road, Loganville, GA 30052-6476 Ph: (770) 554-4717 |
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