Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL DAVID JOHNSON III, MD
Deactivated Sole ProprietorMR. CARL DAVID JOHNSON III, MD is a Family Medicine healthcare provider located in TIFTON, Georgia. NPI 1023018561 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · TIFTON, GA
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1023018561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2005 (0.64931506849315 yrs)
- Last Updated
- May 8, 2015
- Deactivated
- Mar 21, 2006
- License
-
28796 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 LOVE AVETIFTON, GA, 31794Browse GA providers · Browse ZIP 31794
- Phone
- 2293913300
- Fax
- 2293881948
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| JAMES L GRAHAM JR. | MD | 1730182106 |
| RICHARD JOSEPH PIERZCHAJLO | M.D. | 1639175680 |
| BETTY WALKER-RICHARDSON | MD | 1679572648 |
| DR. NORRIS KENT BURTON | M.D. | 1578558805 |
| DR. PARVIZ BRAHMAN | M.D. | 1578584421 |
| DR. CHARLES E BRYAN JR. | M.D. | 1649282575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.