NPI age
1 years
Enumerated 2024-09-12
● Active
Type 1 · Individual
Jacqueline Johnson
Johnson is 1 of 2 technician providers in Douglasville and 1 of 262 in Georgia.
Primary specialty
Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 262 active technician providers in Georgia.
NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Practice location
4775 Smokestone Dr
Douglasville, GA 301354992
Mailing address
4775 Smokestone Dr
Douglasville, GA 301354992
Specialties
-
Technician PrimaryAn individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence,...
Practice context
Part of a multi-provider practice. 1 other active provider shares 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.