Individual provider Active NPI

Princessa Johnson, MD

  • Specialist
  • Augusta, GA
National Provider Identifier
1295754596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
52190 Issued in GA
Practice address
2803 Wrightsboro Rd
Suite 45
Augusta, GA 30909-3913
Phone
(706) 736-2737
Fax
(706) 731-9047
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 52190 GA Primary

Addresses

Primary practice location

2803 Wrightsboro Rd
Suite 45
Augusta, GA 30909-3913

Mailing address

11 Park Place CT
Augusta, GA 30909-6052
Phone (706) 736-6181

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131000598 GA Practitioner - Obstetrics/Gynecology 8123411931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2300 Wrightsboro Rd
Augusta, GA 30904-6220
Phone (706) 790-4440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project Inc CurrentSince Jan 3, 2022 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Jan 3, 2022 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

2300 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 737-3948

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

Interoperability endpoints

  • Direct secure messaging: princessa.johnson@mapbt.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295754596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK PLACE CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096052",
            "telephone_number": "706-736-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD",
            "address_2": "SUITE 45",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093913",
            "telephone_number": "706-736-2737",
            "fax_number": "706-731-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRINCESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "52190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.