Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043290307 Individual Practitioner Female Practitioner

Dr. Nancy Ellen Johnson , MD

Pediatrics • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Johnson, MD is a registered healthcare professional specializing in Pediatrics in Gainesville, GA. Practice services are available at 725 JESSE JEWELL PKWY SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705353611
Fax 7705357092
Associated Practice Facility / Clinic
🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Gainesville, GA (2326 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 036403

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000532298P (GA)
Medicaid State Provider ID
000532298Q (GA)
Medicaid State Provider ID
000532298R (GA)
Medicaid State Provider ID
000532298N (GA)
Medicaid State Provider ID
000532298S (GA)
Commercial Insurance / Payer ID Wellcare
302576 (GA)
Commercial Insurance / Payer ID United Healthcare
1201604 (GA)
Commercial Insurance / Payer ID Amerigroup
10033001 (GA)
Commercial Insurance / Payer ID Wellcare
302578 (GA)
Commercial Insurance / Payer ID Bcbs
52450432 (GA)

Secondary Practice Locations

155 Professional Dr

Baldwin, GA 305114000

Phone: 7067762368

4224 Fairbanks Dr

Oakwood, GA 305662811

Phone: 7705336500

1270 Friendship Rd

Braselton, GA 305175630

Phone: 6782074200

4095 S Lee St

Buford, GA 305183647

Phone: 7709328519

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1053391979

Doctor of Medicine (M.D.)

Julie Chapman , PA

Physician Assistant - Medical

NPI 1073550059

Physician Assistant

NPI 1073730032

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, NNPBC

Stephanie Debski , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1083056931

NNPBC

Marisa Breen

Nurse Practitioner - Acute Care

NPI 1083240154
NPI 1083605554

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2011

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705353611)

📍
Updated Business Mailing Address August 15, 2011

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated August 15, 2011

Recorded as NANCY JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2011

Pediatrics (License #036403 in GA)

🟢
Initial NPI Registration & Enumeration January 20, 2006

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: 1043290307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: March 05, 2019
Sole Proprietor: No

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

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.