Linda Johnson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN231831 Issued in GA

Practice address

1860 Atkinson Rd Ste 109
Lawrenceville, GA 30043-5066

Phone

(404) 809-5970

NPI assigned

Jul 18, 2018

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271
  Medicare reassignment NPD

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1093291544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SATELLITE BLVD NW STE 403",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244688",
            "telephone_number": "770-614-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ATKINSON RD STE 109",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435066",
            "telephone_number": "404-809-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6063 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300923303",
            "country_code": "US",
            "telephone_number": "678-264-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Satellite Blvd NW Ste 403",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244688",
            "country_code": "US",
            "telephone_number": "770-614-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN231831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-4600444",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Wesley Johnson
• Ken Johnson
• Lacreatia Roxanne Johnson, RN
• Lajoya Johnson
• Lauren McKenzie Johnson, MSPA, PA-C
• Maya Johnson
• Miatta Lassanah Johnson, PMHNP
• Michael Johnson, PA-C
• Michael Olton Johnson, PA
• Pooja Johnson, RBT

• Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.