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

Holly Caroline Johnston, CNP

Individual provider Family Nurse Practitioner · NPI 1609407600

Holly Caroline Johnston, CNP is a Nurse Practitioner in Canton, Georgia. Qualified in 2019, 7 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

470 Northside Cherokee Blvd Ste 475
Canton, GA 30115-8029
Phone: (770) 721-9400
Fax: (770) 721-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN210001 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN210001 (GA)

Record details

NPI number1609407600
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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