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

Donovan Eric Johnson, MD

Individual provider Licensed Practical Nurse · NPI 1316173875

Donovan Eric Johnson, MD is a Family Practice in Loganville, Georgia. Qualified in 2014, 12 years ago. Practices with Gwinnett Physician Group, LLC, a 115-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
12
Licensed in
GA, TN
In the registry since
2009
Specialties on file
2
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

115 Lee Byrd Rd
Loganville, GA 30052-6476
Phone: (770) 554-4717
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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 007034 (GA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 55859 (TN)

Record details

NPI number1316173875
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address115 Lee Byrd Road, Loganville, GA 30052

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gwinnett Physician Group, Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Loganville