P Praxis·MD
● Active Type 1 · Individual

DR. Alicia Kay Johnson

Nurse Practitioner·Kennesaw, GA· NPI 1639535503 · Enumerated 2016 · 10 years on NPI
Johnson is 1 of 19 nurse practitioner providers in Kennesaw and 1 of 1622 in Georgia.
NPI age
10 years
Enumerated 2016-01-07
Primary specialty
Nurse Practitioner
Plus 9 subspecialties
Licensed in
GA, ME, UT, OR, RI, NV, VT, ID, NH
9 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 6 yr above median (4 yr)
State licenses
9 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
1300 Ridenour Blvd Nw Ste 106
Kennesaw, GA 301524528
📞 4703150055fax 4704647070
Mailing address
1300 Ridenour Blvd Nw Ste 106
Kennesaw, GA 301524528
📞 4703150055fax 4704647070

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #216448ME license #211280UT license #11723625-4405OR license #20210293NP-PPRI license #APRN02540NV license #855120VT license #101.0135557TELEID license #67513NH license #086000-23GA license #RN216448 taxonomy 363LP0808X

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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