Individual provider Active NPI

Jodi-Ann Jasmine Johnson, DNP, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1114846805
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP281415 Issued in GA
Practice address
455 Grayson Hwy Ste 105a
Lawrenceville, GA 30046-7159
Phone
(770) 963-0927
Fax
(770) 963-9772
NPI assigned
Jul 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN281415 GA
Family Nurse Practitioner 363LF0000X 359835 NY
Family Nurse Practitioner 363LF0000X APRN-NP281415 GA Primary
Family Nurse Practitioner 363LF0000X APRN11048600 FL
Registered Nurse 163W00000X 966683 NY

Addresses

Primary practice location

455 Grayson Hwy Ste 105a
Lawrenceville, GA 30046-7159

Mailing address

2675 Paces Ferry Rd SE Ste 200
Atlanta, GA 30339-4099
Phone (678) 504-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1114846805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 PACES FERRY RD SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394099",
            "telephone_number": "678-504-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GRAYSON HWY STE 105A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467159",
            "telephone_number": "770-963-0927",
            "fax_number": "770-963-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JODI-ANN",
        "middle_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN281415",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359835",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP281415",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11048600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "966683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.