Healthcare Provider Details

I. General information

NPI: 1124944939
Provider Name (Legal Business Name): HANNAH EMILY JOHNSON M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 EATONTON RD STE B
MADISON GA
30650-5088
US

IV. Provider business mailing address

370 WALNUT DR SE
SOCIAL CIRCLE GA
30025-3046
US

V. Phone/Fax

Practice location:
  • Phone: 706-981-9314
  • Fax:
Mailing address:
  • Phone: 470-770-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberPCET004551
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: