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

Gregory L Johnson, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1417922857

Gregory L Johnson, MD is a Geriatric Medicine (Family Medicine) Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

900 Main St Ste 100
Peoria, IL 61602-1005
Phone: (309) 672-4908
Fax: (309) 672-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 036115494 (IL)

Record details

NPI number1417922857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESJanuary 31, 2013
Mailing address900 Main St, Suite 100, Peoria, IL 61602-1005

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