P Praxis·MD
● Active Type 1 · Individual

Jasmine Nicole Johnson, MA

Clinic/Center·Tyrone, GA· NPI 1225830243 · Enumerated 2025 · 1 years on NPI
Johnson is 1 of 1 clinic/center providers in Tyrone and 1 of 95 in Georgia.
NPI age
1 years
Enumerated 2025-03-27
Primary specialty
Clinic/Center
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 95 active clinic/center providers in Georgia.

NPI age
1 years
↓ 18 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
1015 Tyrone Rd Ste 420
Tyrone, GA 302902456
📞 4709007361
Mailing address
1015 Tyrone Rd Ste 420
Tyrone, GA 302902456
📞 4709007361

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP0905X

Practice context

Part of a multi-provider practice. 2 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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