NPI age
20 years
Enumerated 2005-08-24
● Active
Type 1 · Individual
Glen Johnson, MA
Johnson is 1 of 1 audiologist providers in Toccoa and 1 of 594 in Georgia.
Primary specialty
Audiologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 594 active audiologist providers in Georgia.
NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
274 Big A Road
Toccoa, GA 305776002
Mailing address
274 Big A Road
Toccoa, GA 305776002
Specialties
-
Audiologist Primary(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000889908A |
Practice context
Part of a multi-provider practice. 7 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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