DR. SAMUEL O JOHNSON MD - NPI 1457394165 - Obstetrics & Gynecology in Carrollton, GA

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

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About Dr. Samuel O Johnson Md NPPES

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

DR. SAMUEL O JOHNSON MD (NPI 1457394165) is an individual gynecology provider in Carrollton, Georgia, licensed in Georgia (026137) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1457394165

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameDR. SAMUEL O JOHNSONCredential: MD

Location Address109 AMBULANCE DRIVECarrollton, GA 30117-3855

Mailing Address109 Ambulance DriveCarrollton, GA 30117-3855 · (770) 214-1335 · Fax (770) 214-1332

Phone(770) 214-1335

Fax(770) 214-1332

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateMarch 27, 2009

✔ NPI 1457394165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in GA · 026137

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

109 AMBULANCE DRIVE, Carrollton, GA 30117

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Other Identifiers 4

Medicaid000531319OGA

Medicare ID-Type Unspecified16BBCLNGA

Other52486217003GA · Blue Cross

Medicare UPIND45763

Frequently Asked Questions

What is Samuel Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1457394165, enumerated as an "individual" on June 13, 2006.

Where is the provider located?

The provider is located at 109 AMBULANCE DRIVE CARROLLTON, GA 30117 and the phone number is (770) 214-1335.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

What insurance does Samuel Johnson accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.