Individual provider Active NPI

Tiffany Johnson, FNP

  • Family Nurse Practitioner
  • Warrenton, GA
National Provider Identifier
1306729371
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07250626 Issued in GA
Practice address
1008 Atlanta Hwy
Warrenton, GA 30828-9109
Phone
(706) 465-3253
NPI assigned
Jul 28, 2025
Last updated
Sep 10, 2026By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07250626 GA Primary

Addresses

Primary practice location

1008 Atlanta Hwy
Warrenton, GA 30828-9109

Mailing address

458 Mayfield Rd
Warrenton, GA 30828-4400
Phone (706) 914-0462

Other practice location 1

434 Beall Springs Rd
Gibson, GA 30810-4224
Phone (731) 394-1145

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211002719 GA Practitioner - Nurse Practitioner 7416441928 Reassigns benefits to 2 organizations

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
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians

Practice addresses (Care Compare)

10200 US Hwy 1 S
Wadley, GA 30477-3864
Phone (731) 394-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F07250626GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent MD Healthcare Services, P.C. CurrentSince Jan 1, 2026 Accepting new patients
Urgent MD Healthcare Services, P.C. CurrentSince Jan 1, 2026 Accepting new patients

Locations

3686 Wheeler Rd
Augusta, GA 30909
Phone (706) 364-6471

1008 E Robert Toombs Ave
Washington, GA 30673
Phone (706) 678-1633

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1306729371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MAYFIELD RD",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308284400",
            "telephone_number": "706-914-0462",
            "fax_number": "706-914-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 ATLANTA HWY",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308289109",
            "telephone_number": "706-465-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Beall Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Gibson",
            "state": "GA",
            "postal_code": "308104224",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F07250626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, GA

Sources for this page

Verify at the official NPI Registry.