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NPI Code Detail

MEDICARE: DR. WILLIAM MICHAEL JOHNSON M.D.

MEDICARE: DR. WILLIAM MICHAEL JOHNSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician24442GA

General Provider Information

NPI Number : 1588911374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM MICHAEL JOHNSON M.D.
Provider Business Mailing Address
First Line : 2948 FOXHALL CIR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-3647
Country : US
Telephone Number : 706-863-4270
Fax Number :
Provider Business Practice Location Address
First Line : 2948 FOXHALL CIR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-3647
Country : US
Telephone Number : 706-863-4270
Fax Number : 866-666-9515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 02/08/2026

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