P Praxis·MD
● Active Type 1 · Individual

Denetra Johnson

Nurse Practitioner·Stockbridge, GA· NPI 1205207388 · Enumerated 2015 · 10 years on NPI
Johnson is 1 of 86 nurse practitioner providers in Stockbridge and 1 of 8826 in Georgia.
NPI age
10 years
Enumerated 2015-10-14
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, MS
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-10Enumerated in NPPES
2015 2026

Where they practice

Practice location
5095 Mount Zion Pkwy
Stockbridge, GA 302817825
📞 4016529787fax 4016529787
Mailing address
5095 Mount Zion Pkwy
Stockbridge, GA 302817825

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN161105MS license #R865978 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) RN161105 LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Stockbridge in the last 180 days. See all →
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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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