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

Mrs. Gina Gonzalez Johnson, DO

Individual provider Family Medicine Physician · NPI 1790846210

Mrs. Gina Gonzalez Johnson, DO is a Family Practice in Fayetteville, Georgia. Qualified in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
27
Licensed in
GA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1240 Highway 54 W Bldg 700 Ste 700
Fayetteville, GA 30214-4557
Phone: (404) 452-9931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 051480 (GA)

Record details

NPI number1790846210
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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