IndividualActive
Durwood Johnson, DMD
NPI 1861505141 · Oral & Maxillofacial Surgery (D.M.D.) · Fayetteville, GA
Provider details
- NPI number
- 1861505141
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7973 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1260 Hwy 54 W
Suite 200
Fayetteville, GA 30214
Phone: (770) 461-2101
Fax: (770) 460-1292
Street-level locationGet directions
Mailing address
1260 Hwy 54 W
Fayetteville, GA 30214
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.