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

Dr. Jackie H Johnson Jr., MD

Individual provider Ophthalmology Physician · NPI 1679707541

Dr. Jackie H Johnson Jr., MD is an Ophthalmology in Warner Robins, Georgia. Qualified in 2009, 17 years ago. Practices with Gayton Health Centre PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Virginia.

Years since qualifying
17
Licensed in
FL, GA, VA
In the registry since
2009
Specialties on file
4
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

216 Corder Rd
Warner Robins, GA 31088
Phone: (478) 923-5872
Fax: (478) 929-6266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 N 4th St, Cordele, GA 31015-3660 — (229) 273-0435

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 068744 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence ME114525 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116022302 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679707541
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2009
Last updated in NPPESMay 9, 2019

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gayton Health Centre Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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