Kevin Mark Johnson
Kevin Mark Johnson is a Nurse Practitioner in East Point, Georgia. Qualified in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 6
- Licensed in
- GA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1170 Cleveland AveEast Point, GA 30344-3615
Phone: (404) 466-1249
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN171627 (GA) |
|---|---|
| School Counselor | Taxonomy 101YS0200X |
Record details
| NPI number | 1508515917 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | August 8, 2025 |
| Certification date | August 8, 2025 |
| Mailing address | 106 Cherry Hill Ln, Stockbridge, GA 30281-7359 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Wellstar Medical Group Llc — 3072 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |