Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Frederick Dwayne Johnson Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1619143914

Dr. Frederick Dwayne Johnson Jr., MD is an Interventional Radiology in Thomasville, Georgia. Graduated from University of Arkansas College of Medicine in 2008, 18 years ago. Practices with Minimally Invasive and Vascular Solutions, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
18
Trained at
University of Arkansas College of Medicine
Licensed in
GA, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 5764
Thomasville, GA 31758-5764
Phone: (229) 221-6596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 84342 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 51504 (TN)

Record details

NPI number1619143914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2008
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing addressPo Box 5764, Thomasville, GA 31758-5764

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Minimally Invasive And Vascular Solutions, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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