NPI age
17 years
Enumerated 2009-05-07
● Active
Type 1 · Individual
DR. Jackie H Johnson JR., MD
Johnson is 1 of 10 ophthalmology providers in Warner Robins and 1 of 807 in Georgia.
Primary specialty
Ophthalmology
Plus 3 subspecialties
Licensed in
GA, FL, VA
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 807 active ophthalmology providers in Georgia.
NPI age
17 years
↓ 2 yr below median (19 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-05Enumerated in NPPES
2009
2026
Where they practice
Practice location
216 Corder Rd
Warner Robins, GA 31088
Mailing address
Po Box 6479
Warner Robins, GA 31095
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1011 N 4th St
Cordele, GA 310153660
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003134708A |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- 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.
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