P Praxis·MD
● Active Type 1 · Individual

Gladys B Johnson

Nurse Practitioner·Stone Mountain, GA· NPI 1407458102 · Enumerated 2020 · 5 years on NPI
Johnson is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
NPI age
5 years
Enumerated 2020-11-09
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-09
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
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Practice location
3962 Carlinswood Way
Stone Mountain, GA 300834776
📞 4043762876
Mailing address
3962 Carlinswood Way
Stone Mountain, GA 300834776

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN163718 taxonomy 363LF0000X

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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