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

Kim Walden Johnston, MD

Individual provider Specialist · NPI 1417994096

Kim Walden Johnston, MD is a Neurosurgery in Macon, Georgia. Graduated from Medical College of Georgia School of Medicine in 1981, 45 years ago. Practices with Georgia Neurosurgical Institute, PC, a 22-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
45
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
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 Address checks out

840 Pine St Ste 880
Macon, GA 31201-2100
Phone: (478) 743-7092
Fax: (478) 743-6293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 024443 (GA)
Specialist Taxonomy 174400000X · Licence 024443 (GA)

Record details

NPI number1417994096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 13, 2022
Certification dateSeptember 20, 2021

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Georgia Neurosurgical Institute, P.C — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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