Provider Demographics
NPI:1518857671
Name:JOHNSON, KAREN SABINA (CPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SABINA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SABRINA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPT
Mailing Address - Street 1:11961 FULLER ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-1819
Mailing Address - Country:US
Mailing Address - Phone:470-738-2883
Mailing Address - Fax:
Practice Address - Street 1:11961 FULLER ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-1819
Practice Address - Country:US
Practice Address - Phone:678-643-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA167-10032247200000X, 246RP1900X, 246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information