NPI age
19 years
Enumerated 2006-08-02
● Active
Type 1 · Individual
DR. Keith Russell Johnson, M.D.
Johnson is 1 of 62 anesthesiology providers in MacOn and 1 of 1712 in Georgia.
Primary specialty
Anesthesiology
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1712 active anesthesiology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
777 Hemlock St
MacOn, GA 312012102
Mailing address
Po Box 18824
Greensboro, NC 274198824
Additional practice locations
1 secondary location on file with NPPES.
Location 2
410 Darling Ave, Dept Of Anesthesia
Waycross, GA 315015246
Specialties
-
Anesthesiology PrimaryAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 882501185G | |
| 05 (GA) | 882501185I | |
| 05 (GA) | 882501185E | |
| 05 (GA) | 882501185J | |
| 05 (GA) | 882501185C | |
| 01 (GA) | P00352150 | RR MEDICARE |
| 05 (GA) | 882501185H | |
| 01 (GA) | 2500082985 | CHAMPUS INDIVIDUAL |
| 05 (GA) | 882501185F |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.