Mary Neel Johnson, NNP/BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

RN057678NP Issued in GA

Practice address

5901 Peachtree Dunwoody Rd NE
Suite B-420
Atlanta, GA 30328-5382

Phone

(404) 252-9751

NPI assigned

Jan 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1326285388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 CHARTWELL CHASE CT",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423745",
            "telephone_number": "404-831-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B-420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "404-252-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "NEEL",
        "name_prefix": "Ms.",
        "credential": "NNP/BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "GA",
            "license": "RN057678NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Johnson, AA-C
• Martin Thomas Johnson, M.D.
• Martin Thomas Johnson
• Mary James (Jamie) Johnson, LPC
• Mary Katherine Johnson, PHARMD
• Mecca Dawn Johnson
• Melanie Lena Johnson, PA-C
• Melissa Ann Johnson, OT
• Meredith Leigh Johnson, MS, RDN, CSP, LD
• Metrice Johnson

• Neonatal Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neonatal Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.