Active NPI
Courtney Johnson, FNP
- Nurse Practitioner
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-034909
- Practice address
- 2940 Rollingridge Rd Ste 204
Naperville, IL 60564-4217 - Phone
- (630) 432-6890
- Fax
- (630) 527-8301
- NPI assigned
- Jun 5, 2025
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN290515 | GA | |
| Nurse Practitioner | 363L00000X | 209-034909 | IL | Primary |
Addresses
Primary practice location
2940 Rollingridge Rd Ste 204
Naperville, IL 60564-4217
Mailing address
Pob 7132960
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
1297 Hembree Road
Suite 100
Roswell, GA 30076
Phone (608) 336-3363
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnson378104@dulyhealthandcare.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
2940 Rollingridge Rd
Suite 300
Naperville, IL 60564-4235
Phone (630) 646-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN290515 | GA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
2940 Rollingridge Rd
Ste 300
Naperville, IL 60564
Phone (630) 646-5800
2940 Rollingridge Rd
Ste 204
Naperville, IL 60564
Organizations & group practices 3
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.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1255225108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 7132960",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 ROLLINGRIDGE RD STE 204",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644217",
"telephone_number": "630-432-6890",
"fax_number": "630-527-8301"
}
],
"practiceLocations": [
{
"address_1": "1297 Hembree Road",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "30076",
"country_code": "US",
"telephone_number": "608-336-3363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "COURTNEY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "GA",
"license": "RN290515",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-034909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson378104@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2940 Rollingridge Rd Ste 204",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605644217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.