Kelley Marshall Johnson, MD
NPI 1962475582ActiveIndividual· Radiology, Pediatric Radiology· Atlanta, GA
Radiology, Pediatric Radiology (MD) in Atlanta, Georgia, trained at Northeastern Ohio University College of Medicine (class of 1991). Enrolled in Medicare as practitioner - diagnostic radiology.
Overview
| NPI | 1962475582 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2006 |
| Last updated in NPPES | Apr 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Pediatric Radiology Primary | 2085P0229X | 48372 | GA |
| Radiology, Pediatric Radiology | 2085P0229X | 048372 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GA) |
|---|
Education and affiliations
| Medical school | Northeastern Ohio University College of Medicine |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Choa Hospital Based, LLCAtlanta, GA · 96 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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