Active NPI
Lowanda Dent-Johnson, PHD, CANP
- Nurse Practitioner
- Columbus, GA
National Provider Identifier
1063645497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN055775
- Practice address
- 4519 Woodruff Rd
Suite 4 PMB 349
Columbus, GA 31904-6011 - Phone
- (706) 653-2255
- Fax
- (706) 653-2329
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN055775 | GA | Primary |
| Registered Nurse | 163W00000X | RN055775 NP | GA |
Addresses
Primary practice location
4519 Woodruff Rd
Suite 4 PMB 349
Columbus, GA 31904-6011
Mailing address
2737 Warm Springs Rd
Columbus, GA 31904-6859
Phone (706) 653-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN055775 NP | Other | GA | GEORGIA LICENSE # RN055775 NP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Adult Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN055775 NP | GA | MD | Registered Nurse |
| RN055775 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1063645497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 WARM SPRINGS RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046859",
"telephone_number": "706-653-2255",
"fax_number": "706-653-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 WOODRUFF RD",
"address_2": "SUITE 4 PMB 349",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046011",
"telephone_number": "706-653-2255",
"fax_number": "706-653-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT-JOHNSON",
"first_name": "LOWANDA",
"name_prefix": "Dr.",
"credential": "PHD, CANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN055775",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN055775 NP",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE # RN055775 NP",
"identifier": "RN055775 NP",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
- Carrie Dennard
- Benjamin Adam Dennis, M.D.
- Sydney Densel, DPT
- Chiquita Tiera Denson
- Shaquandra R Denson, RBT
- Phyllis Dent
- Roger Dent
- Samantha Marie Dent
- Dental Professionals of Georgia, P.C. (North Columbus Dental Care)
- Department of Behavioral Health and Developmental Disabilities (West Central Behavioral Health Hub - Intensive Treatment Res. (Male))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.