Jacye A Johnson, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003228 Issued in GA

Practice address

1200 Lake Hearn Dr NE
Suite 250
Atlanta, GA 30319-1415

Phone

(404) 943-1070

Fax

(404) 943-0890

NPI assigned

Aug 18, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment Care Compare group
• Meridian Education Resource Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1730305004
  Medicare reassignment NPD
• Thriving Lane

  • Psychiatry Physician
  • Naples, FL
  • NPI 1376122515

  GA

  Medicare reassignment NPD
• Meridian Education Resource Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1528630654
  NPD

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1245545946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9882 VISTA CIR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916022",
            "telephone_number": "770-964-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191415",
            "telephone_number": "404-943-1070",
            "fax_number": "404-943-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACYE",
        "middle_name": "A",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "037384362",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henri R Johnson, NP
• Holly Leann Johnson, MA, BCBA, LBA
• Hunter Lamkin Johnson, M.D.
• Idara Chantelle Johnson
• Jacqueline Johnson
• Jaishaye Johnson, RBT
• Jamie Johnson, RBT
• Jamlik Omari Johnson, M.D.
• Janeille Johnson, PHARM.D.
• Janie Elizabeth Johnson, M.ED. CCC-SLP

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.