P Praxis·MD
● Active Type 1 · Individual

MS. Rebecca A. Johnson, FNP

Nurse Practitioner·Decatur, GA· NPI 1285636407 · Enumerated 2005 · 20 years on NPI
Johnson is 1 of 158 nurse practitioner providers in Decatur and 1 of 8826 in Georgia.
NPI age
20 years
Enumerated 2005-06-01
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, VA, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-21
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
20 years
↑ 13 yr above median (7 yr)
State licenses
3 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
836 Constellation Dr
Decatur, GA 300332811
📞 4342586517
Mailing address
836 Constellation Dr
Decatur, GA 300332811
📞 4342586517

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #291053VA license #0024095207PA license #SP01065 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 010217822 VA PREMIER PROVIDER NUMBE
01 203639329004 TRICARE PROVIDER NUMBER
05 (VA) 010217822
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Decatur 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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