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

Mr. Robert Blake Johnson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1750060273

Mr. Robert Blake Johnson, AGACNP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2023, 3 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

1439 Jesse Jewell Pkwy NE Ste 201
Gainesville, GA 30501-3806
Phone: (770) 219-9676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN215313 (GA)

Record details

NPI number1750060273
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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