P Praxis·MD
● Active Type 1 · Individual

Nancy Ellen Johnson, MD

Pediatrics·Gainesville, GA· NPI 1043290307 · Enumerated 2006 · 20 years on NPI
Johnson is 1 of 44 pediatrics providers in Gainesville and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-01-20
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 7705353611fax 7705357092
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
155 Professional Dr
Baldwin, GA 305114000
📞 7067762368fax 7067762589
Location 3
4224 Fairbanks Dr
Oakwood, GA 305662811
📞 7705336500fax 7705336543
Location 4
1270 Friendship Rd
Braselton, GA 305175630
📞 6782074200fax 7705334771
Location 5
4095 S Lee St
Buford, GA 305183647
📞 7709328519fax 7709322595

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #036403 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (GA) 302578 WELLCARE
01 (GA) 4360675 AETNA
01 (GA) 302577 WELLCARE
01 (GA) 317570 CIGNA
01 (GA) 302566 WELLCARE
01 (GA) 302576 WELLCARE
01 (GA) 1201604 UNITED HEALTHCARE
05 (GA) 000532298R
05 (GA) 000532298S
05 (GA) 000532298P
05 (GA) 000532298Q
01 (GA) 10033001 AMERIGROUP
05 (GA) 000532298N
01 (GA) 52450432 BCBS

Practice context

Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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