P Praxis·MD
● Active Type 1 · Individual

MRS. Carelle Johnson

Custodial Care Facility·Jesup, GA· NPI 1831997121 · Enumerated 2025 · 1 years on NPI
Johnson is 1 of 1 custodial care facility providers in Jesup and 1 of 40 in Georgia.
NPI age
1 years
Enumerated 2025-03-04
Primary specialty
Custodial Care Facility
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 40 active custodial care facility providers in Georgia.

NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
158 Kiowa Dr S
Jesup, GA 31545
📞 9124243204
Mailing address
158 Kiowa Dr S
Jesup, GA 31545
📞 9124243204

Specialties

  • Custodial Care Facility Primary
    A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets,...
    GA license #CN0036020198 taxonomy 311Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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