P Praxis·MD
● Active Type 1 · Individual

Nicole Heather Johnson

Nurse Practitioner·Marietta, GA· NPI 1356819569 · Enumerated 2018 · 7 years on NPI
Johnson is 1 of 75 nurse practitioner providers in Marietta and 1 of 950 in Georgia.
NPI age
7 years
Enumerated 2018-11-06
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-11Enumerated in NPPES
2018 2026

Where they practice

Practice location
55 Whitcher St Ne Ste 160
Marietta, GA 300601160
📞 4709568276fax 7707959161
Mailing address
4305 Oklahoma Way Nw
Kennesaw, GA 301525434
📞 8186418850

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #188988 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Marietta 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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