Theodore Samuel Johnson, M.D., PH.D.
Pediatric Hematology & Oncology Physician · Augusta, GA
Theodore Samuel Johnson, M.D., PH.D. is a pediatric hematology & oncology physician with a practice address in Augusta, Georgia, and NPI 1255453759, issued on Apr 4, 2007. Check the license (Georgia 64115, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Theodore Samuel Johnson
- Credential
- M.D., PH.D.
- Primary taxonomy
- Pediatric Hematology & Oncology Physician 2080P0207X
- License number
- 64115 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1120 Fifteenth Street, CN-4141A, Augusta, GA 30912
- Phone
- (706) 721-3626
- Enumerated
- Apr 4, 2007
- Record last updated
- Jun 15, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (706) 721-4804
- Medicare enrollment
- Enrolled (PECOS I20100702000164); accepts Medicare assignment
- Medical or professional school
- Medical College Of Georgia School Of Medicine, 2004
- Entity
- Type 1 · individual
8 nearest pediatric hematology & oncology physician records → All 101 in Georgia → Look up another NPI →
Verify Theodore Samuel Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 64115Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Wellstar Medical Group LLCAugusta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theodore Samuel Johnson among 101 pediatric hematology & oncology physician records in Georgia
Theodore Samuel Johnson, M.D., PH.D. is one of 101 pediatric hematology & oncology physician records with a practice address in Georgia. 44% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 37% of them.
- NPI issued2007 · 37% of these records are older, 54% newer
- In a Medicare fileYes · 44% of these records are
- In the CMS Doctors and Clinicians fileYes · 12% of these records are
- Graduated2004 · median 2001 among the 12 with a school on file
- Record last updated2017 · 30% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0207X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Hematology & Oncology Physician providers in Georgia
There are 101 pediatric hematology & oncology physician records in Georgia.
All 101 in Georgia → Every provider in Augusta → Pediatric Hematology & Oncology Physician nationwide →
The 8 pediatric hematology & oncology physician records with the nearest ZIP codes
- Afshin Ameri, MDAugusta, GA 309121265541403
- Beverly Bell, MDAugusta, GA 309121508975475
- Colleen McDonough, MDAugusta, GA 309121164531281
- Virgil McKie, MDAugusta, GA 309121932218989
- David Munn, MDAugusta, GA 309121356450373
- Cindy Neunert, MDAugusta, GA 309121689707507
- Betty Pace, MDAugusta, GA 309121700195039
- Eric Ring, MDAugusta, GA 309121790070126
Common questions
What is Theodore Samuel Johnson, M.D., PH.D.'s NPI number?
Theodore Samuel Johnson, M.D., PH.D.'s National Provider Identifier (NPI) is 1255453759, issued on Apr 4, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Theodore Samuel Johnson, M.D., PH.D. located?
The NPPES record lists a practice address at 1120 Fifteenth Street, CN-4141A, Augusta, GA, 30912. Phone: (706) 721-3626. Providers update this record themselves, so call before visiting.
How can I verify Theodore Samuel Johnson, M.D., PH.D.'s license?
NPPES lists Georgia license number 64115, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.