NPI age
19 years
Enumerated 2007-01-05
● Active
Type 1 · Individual
DR. Evelyn Delois Johnson, M.D.
Johnson is 1 of 20 pediatrics providers in Brunswick and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2008-06-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1600 Gloucester St
Brunswick, GA 315207145
Mailing address
1600 Gloucester St
Brunswick, GA 315207145
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00636028B |
Multi-state credentialing: Licensed in 2 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. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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