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

Dr. Shaneeta Johnson, MD

Individual provider Surgery Physician · NPI 1093995334

Dr. Shaneeta Johnson, MD is a General Surgery in Atlanta, Georgia. Qualified in 2003, 23 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Georgia and Ohio.

Years since qualifying
23
Licensed in
DC, GA, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone: (404) 616-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 Upper Riverdale Rd Sw, Riverdale, GA 30274-2626 — (770) 897-7546

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 068580 (GA)
Surgery Physician Taxonomy 208600000X · Licence 35091547 (OH)
Surgery Physician Taxonomy 208600000X · Licence MD036166 (DC)

Record details

NPI number1093995334
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2007
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address720 Westview Drive Sw, Harris Bldg., 100-A, Atlanta, GA 30310

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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