P Praxis·MD
● Active Type 1 · Individual

DR. Samuel O Johnson, MD

Obstetrics & Gynecology·Carrollton, GA· NPI 1457394165 · Enumerated 2006 · 19 years on NPI
Johnson is 1 of 3 obstetrics & gynecology providers in Carrollton and 1 of 267 in Georgia.
NPI age
19 years
Enumerated 2006-06-13
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-03-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 267 active obstetrics & gynecology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
109 Ambulance Drive
Carrollton, GA 301173855
📞 7702141335fax 7702141332
Mailing address
109 Ambulance Drive
Carrollton, GA 301173855
📞 7702141335fax 7702141332

Specialties

  • Obstetrics & Gynecology Primary
    A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
    GA license #026137 taxonomy 207VG0400X

Identifiers

TypeValueNotes
01 (GA) 52486217003 BLUE CROSS
05 (GA) 000531319O

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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