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

Q: What is Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1457394165. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Johnson was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 13, 2006

109 AMBULANCE DRIVE, CARROLLTON, GA 30117(770) 214-1335(770) 214-1332 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 NPPES & CMS

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

What is Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1457394165. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Samuel Johnson located?

Samuel Johnson practices at 109 Ambulance Drive, Carrollton, GA 30117. The listed phone number is (770) 214-1335.

What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Samuel Johnson was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.