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MICHAEL JOHNSON SA-C
NPI 1114374287
Specialist/Technologist, Other - Surgical Assistant in Marietta, GA

Active since May 19, 2016
2886 SANDY PLAINS RD, MARIETTA, GA 30066(404) 436-0664(404) 393-6142 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 2, 2016, May 19, 2016 (2 updates tracked since 2016).

About Michael Johnson Sa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHNSON SA-C (NPI 1114374287) is an individual surgical assistant in Marietta, Georgia, licensed in Georgia (16-399) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1114374287
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMICHAEL JOHNSONCredential: SA-C
Location Address2886 SANDY PLAINS RDMarietta, GA 30066-0240
Mailing Address2886 Sandy Plains RdMarietta, GA 30066-0240 · (404) 436-0664 · Fax (404) 393-4162
Phone(404) 436-0664
Fax(404) 393-6142
Sole ProprietorYes
Enumeration DateMay 19, 2016
Last NPPES UpdateJuly 7, 20162 updates tracked since enumeration
✔ NPI 1114374287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in GA · 16-399
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
2886 SANDY PLAINS RD, Marietta, GA 30066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1114374287. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Michael Johnson located?

Michael Johnson practices at 2886 Sandy Plains Rd, Marietta, GA 30066. The listed phone number is (404) 436-0664.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Michael Johnson was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.