Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Wayne Johnson, MD

Individual provider Family Medicine Physician · NPI 1104186246

Anthony Wayne Johnson, MD is a Family Practice in Valdosta, Georgia. Qualified in 2012, 14 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3207 Country Club Rd
Valdosta, GA 31605-1029
Phone: (229) 242-8480
Fax: (229) 242-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 005433 (GA)

Record details

NPI number1104186246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESFebruary 23, 2016
Mailing address3207 Country Club Rd, Valdosta, GA 31605-1029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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