Samerah Johns, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN094072 Issued in GA

Practice address

760 Old Roswell Rd
Roswell, GA 30076-2279

Phone

(901) 871-6208

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellcare, LLC

  • Home Health Agency
  • Roswell, GA
  • NPI 1205587938
  NPD Authorized official
• Wellcare, LLC

  • Home Health Agency
  • Memphis, TN
  • NPI 1003686759
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1003394388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CLIFFCHASE CLOSE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764013",
            "telephone_number": "901-871-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "901-871-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "SAMERAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN094072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JM Cardinal Investments LLC North Fulton Hospital
• Jmanor LLR
• John P Shallcross, Psy.D., P.C.
• Harry N John, M.D.
• Jace Anthony Johns-Cooper, MS, LPC
• Brian Douglas Johnson, DMD
• Carol Ann Johnson, AU.D., F-AAA
• Dana Ari McKinnon Johnson, APRN
• Diajah Johnson
• Dianne Stanford Johnson, LCSW

• Licensed Practical Nurse in Roswell, GA
• Providers in Roswell, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.