Gabrielle Sade Johnson

General Practice Physician · Smyrna, GA

Individual Active NPI

NPI number 1619531621

Practice location

5100 Whiteoak Ter SE
Smyrna, GA 30080-7428
Phone
(850) 321-5631

Open in Google Maps

NPI record

NPI
1619531621
Entity type
Individual (Type 1)
Enumeration date
April 24, 2019
Last updated
May 20, 2025
Certified
May 20, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 96035 GA
Internal Medicine Physician 207R00000X 96035 GA
Internal Medicine Physician 207R00000X 22239 CA
Hospitalist Physician 208M00000X 22239 CA

About Gabrielle Johnson

Gabrielle Sade Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 5100 Whiteoak Ter SE, Smyrna, GA 30080-7428. The NPI number 1619531621 was assigned on April 24, 2019 and the record was last updated on May 20, 2025.

Gabrielle Johnson lists 4 licenses in the registry: #96035 (GA) for General Practice Physician; #96035 (GA) for Internal Medicine Physician; #22239 (CA) for Internal Medicine Physician; #22239 (CA) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gabrielle Sade Johnson?

The NPI number is 1619531621.

What is the phone number of Gabrielle Johnson?

The phone number listed for the practice location is (850) 321-5631.

Where is Gabrielle Johnson located?

5100 Whiteoak Ter SE, Smyrna, GA 30080-7428.

What is the taxonomy code for Gabrielle Johnson?

The primary taxonomy code is 208D00000X – General Practice Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Physician providers in Smyrna

All General Practice Physician providers in Smyrna, GA →