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

Dr. Theodore Samuel Johnson, MD, PHD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1255453759

Dr. Theodore Samuel Johnson, MD, PHD is a Pediatric Medicine in Augusta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2004, 22 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1120 Fifteenth Street CN-4141A
Augusta, GA 30912
Phone: (706) 721-3626
Fax: (706) 721-4804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 64115 (GA)

Record details

NPI number1255453759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJune 15, 2017
Mailing address1120 Fifteenth Street, Cn-4141a, Augusta, GA 30912

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHEMATOLOGY/ONCOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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