# BENJAMIN MAYS JOHNSTON, SR, M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENJAMIN M. JOHNSTON, JR, M.D.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760562268
- **Legal business name:** BENJAMIN M. JOHNSTON, JR, M.D.
- **Authorized official:** TAMMY J BRICKLE (BILLING AGENT)
- **Authorized official phone:** (478) 254-5943

## Contact information

- **Practice address:** 900 FIRST STREET, SUITE B, MACON, GA 31201-6806
- **Practice address phone:** (478) 746-1717
- **Practice address fax:** (478) 738-8639
- **Mailing address:** PO BOX 28170, MACON, GA 31221-8170
- **Mailing address phone:** (478) 254-5943
- **Mailing address fax:** (478) 254-6093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 018579 | GA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 07/28/2010