Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376511667 Individual Practitioner Female Practitioner

Dr. Stacey W Johnson , MD

Pediatrics • Thomasville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Johnson, MD is a registered healthcare professional specializing in Pediatrics in Thomasville, GA. Practice services are available at 509 GORDON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

509 Gordon Ave

Thomasville, GA 31792

Telephone 2292267544
Fax 2292260314
Associated Practice Facility / Clinic
🏢 The Pediatric Center Llc Facility NPI 1760602783

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Thomasville, GA

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

Practicing in Thomasville, 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 041324

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
000706439B (GA)
Medicaid State Provider ID
000706439C (GA)

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1023085420

Doctor of Medicine (M.D.)

NPI 1033186838

Doctor of Medicine (M.D.)

NPI 1154398865

Doctor of Medicine (M.D.)

NPI 1205361219

Doctor of Medicine (M.D.)

NPI 1235106048

Doctor of Medicine (M.D.)

Nicole Simmons , NP

Nurse Practitioner - Family

NPI 1245682103

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 509 GORDON AVE, THOMASVILLE, GA 31792 (Tel: 2292267544)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 2258, THOMASVILLE, GA 31799 (Tel: 2292267544)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as STACEY JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #041324 in GA)

🟢
Initial NPI Registration & Enumeration March 10, 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: 1376511667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 2258

Thomasville, GA 31799

Phone: 2292267544

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.