Individual provider Active NPI

Courtney Johnson, FNP

  • Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1255225108
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-034909 Issued in IL
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

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson378104@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260213000951 GA Practitioner - Nurse Practitioner 4789164393 Reassigns benefits to 1 organization
I20260601001112 IL Practitioner - Nurse Practitioner 4789164393 Reassigns benefits to 1 organization

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
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

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

LicenseStateTypeSpecialty
RN290515GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Providers LLC CurrentSince Jan 1, 2026 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 22, 2026 Accepting new patients
Dupage Medical Group LTD PastSince Jun 22, 2026 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.

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

Verify at the official NPI Registry.