P Praxis·MD
● Active Type 1 · Individual

MRS. Nicole Tamara Johnson, NP

Nurse Practitioner·Stockbridge, GA· NPI 1710116769 · Enumerated 2009 · 16 years on NPI
Johnson is 1 of 10 nurse practitioner providers in Stockbridge and 1 of 806 in Georgia.
NPI age
16 years
Enumerated 2009-07-13
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
16 years
↑ 5 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
3580 Cameron Pkwy
Stockbridge, GA 302817816
📞 7709966446fax 7709966279
Mailing address
3580 Cameron Pkwy
Stockbridge, GA 302817816
📞 7709966446fax 7709966279

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN179949 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 3 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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