P Praxis·MD
● Active Type 1 · Individual

William P Johnson JR., MD

Emergency Medicine·St Simons Island, GA· NPI 1295756757 · Enumerated 2006 · 19 years on NPI
Johnson is 1 of 1 emergency medicine providers in St Simons Island and 1 of 85 in Georgia.
NPI age
19 years
Enumerated 2006-07-21
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
GA, SC, KY
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 85 active emergency medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
108 Island Professional Park
St Simons Island, GA 315222880
📞 9122684372
Mailing address
108 Island Professional Park
St Simons Island, GA 315222880
📞 9122684372

Additional practice locations

1 secondary location on file with NPPES.

Location 2
14 Richland Medical Park Dr Ste 350
Columbia, SC 292036896
📞 8034341663fax 8034343894

Specialties

  • Emergency Medicine Primary
    An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
    GA license #064997 taxonomy 207PE0004X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    SC license #32549KY license #R0961 taxonomy 207P00000X

Identifiers

TypeValueNotes
01 (KY) R0961 LICENSE
01 (IN) 01063853A INDIANA STATE LICENSE
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.

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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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