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DR. EVELYN DELOIS JOHNSON M.D.
NPI 1285781575
Pediatrics in Brunswick, GA

Active since January 05, 2007
1600 GLOUCESTER ST, BRUNSWICK, GA 31520(912) 265-8080(912) 265-8513 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Evelyn Delois Johnson M.d. NPPES

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

DR. EVELYN DELOIS JOHNSON M.D. (NPI 1285781575) is an individual pediatrics provider in Brunswick, Georgia, licensed in Georgia (039602) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1285781575
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. EVELYN DELOIS JOHNSONCredential: M.D.
Location Address1600 GLOUCESTER STBrunswick, GA 31520-7145
Mailing Address1600 Gloucester StBrunswick, GA 31520-7145 · (912) 265-8080
Phone(912) 265-8080
Fax(912) 265-8513
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJune 9, 2008
✔ NPI 1285781575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 039602✔ Licensed in FL · ME 60541
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1600 GLOUCESTER ST, Brunswick, GA 31520
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Other Identifiers 1

Medicaid00636028BGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2265596

Evelyn D Johnson MD PC · Brunswick, GA
Expired · Jul 28, 2026
CLIA Number11D2265596
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorEvelyn D. Johnson
Laboratory Phone(912) 265-8080
Laboratory LocationEvelyn D Johnson MD PC1600 Gloucester Street, Brunswick, GA 31520
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Evelyn Johnson's NPI number?

The NPI number for Evelyn Johnson is 1285781575. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Evelyn Johnson located?

Evelyn Johnson practices at 1600 Gloucester St, Brunswick, GA 31520. The listed phone number is (912) 265-8080.

What is Evelyn Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Evelyn Johnson was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.