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

Spencer Jacob Johnson, MD

Individual provider Emergency Medicine Physician · NPI 1750731618

Spencer Jacob Johnson, MD is an Emergency Medicine in Rincon, Georgia. Qualified in 2016, 10 years ago. Practices with Broad River Physicians Group, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5629 Hwy 21 S
Rincon, GA 31326
Phone: (912) 295-2133
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

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 81790 (GA)

Record details

NPI number1750731618
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESJuly 3, 2019
Mailing address5629 Hwy 21 S, Rincon, GA 31326-9416

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Broad River Physicians Group, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rincon