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Active NPI 1023901899 Individual Practitioner Male Practitioner

Ifeoluwa Johnson

Registered Nurse • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Ifeoluwa Johnson is a registered healthcare professional specializing in Registered Nurse in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 4787777497
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Augusta, GA (3397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License GA RN293073

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Toya Kelley , MD

Family Medicine

NPI 1003013368

Doctor of Medicine (M.D.)

Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Robert Smith , FNP-C

Nurse Practitioner - Family

NPI 1003117680

Family Nurse Practitioner (Certified)

Sami Alshehry

Student in an Organized Health Care Education/Training Program

NPI 1003191545
Dr. Luis Velasquez Zarate , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003221235

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 22, 2025

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 4787777497)

📍
Updated Business Mailing Address July 22, 2025

Registered at 1120 15TH ST, AUGUSTA, GA 309120004

NPI Profile Active May 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2025

Registered at 507 MYRTLE CRST, GROVETOWN, GA 308132299 (Tel: 4787777497)

📍
Updated Business Mailing Address May 31, 2025

Registered at 507 MYRTLE CRST, GROVETOWN, GA 308132299

👤
Provider Name / Credentials Updated May 31, 2025

Recorded as IFEOLUWA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2025

Registered Nurse (License #RN293073 in GA)

🟢
Initial NPI Registration & Enumeration May 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023901899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2025
Last Update: July 22, 2025
Sole Proprietor: Yes

Mailing Address

1120 15th St

Augusta, GA 309120004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.