NPI age
19 years
Enumerated 2007-04-04
● Active
Type 1 · Individual
DR. Theodore Samuel Johnson, M.D., PH.D.
Johnson is 1 of 12 pediatrics providers in Augusta and 1 of 100 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-06-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 100 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
1120 Fifteenth Street, Cn-4141a
Augusta, GA 30912
Mailing address
1120 Fifteenth Street, Cn-4141a
Augusta, GA 30912
Specialties
-
Pediatrics PrimaryA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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