NPI age
4 years
Enumerated 2022-03-22
● Active
Type 1 · Individual
Kevin Mark Johnson
Johnson is 1 of 13 nurse practitioner providers in East Point and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-08
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
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Practice location
1170 Cleveland Ave
East Point, GA 303443615
Mailing address
106 Cherry Hill Ln
Stockbridge, GA 302817359
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
CounselorDefinition to come...
Practice context
Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.