Georgina Millicent Julious Johnson
Georgina Millicent Julious Johnson is a Nurse Practitioner in Elgin, South Carolina. Qualified in 2024, 2 years ago. Practices with Supportive Care of South Carolina LLC, a 33-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 2
- Licensed in
- SC
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
385 Spears Creek Church RdElgin, SC 29045-8446
Phone: (803) 427-3231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 29517 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1043076235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 26, 2024 |
| Last updated in NPPES | April 29, 2026 |
| Certification date | April 29, 2026 |
| Mailing address | 801 N Brickyard Rd, Columbia, SC 29223-8227 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Supportive Care Of South Carolina Llc — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |