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NPI Code Detail

MEDICARE: DR. THOMAS BRADFORD JOHNS M.D.

MEDICARE: DR. THOMAS BRADFORD JOHNS 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
12084P0800XPsychiatry Physician043833GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124197686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS BRADFORD JOHNS M.D.
Provider Business Mailing Address
First Line : 2150 PEACHFORD ROAD
Second Line : SUITE R
City : ATLANTA
State : GA
Zip : 30338
Country : US
Telephone Number : 770-455-0261
Fax Number : 678-209-5300
Provider Business Practice Location Address
First Line : 6100 LAKE FORREST DR
Second Line : STE 450
City : ATLANTA
State : GA
Zip : 30328-3837
Country : US
Telephone Number : 770-766-7006
Fax Number : 678-713-2555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 02/13/2021

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