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

Dr. Samuel Johnson, MD

Individual provider Family Medicine Physician · NPI 1477749810

Dr. Samuel Johnson, MD is a Family Medicine Physician in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
3
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

5300 Memorial Dr Ste 112
Stone Mountain, GA 30083-3148
Phone: (678) 704-0306
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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 037841 (GA)
Surgery Physician Taxonomy 208600000X · Licence 037841 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 037841 (GA)

Record details

NPI number1477749810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007
Mailing address5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083-3148

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