Active NPI
Georgian Johnson
- Registered Nurse
- Westampton, NJ
National Provider Identifier
1326643610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR22176600
- Practice address
- 770 Woodlane Rd
Westampton, NJ 08060-3804 - Phone
- (609) 267-5928
- NPI assigned
- Dec 3, 2020
- Last updated
- Dec 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR22176600 | NJ | Primary |
Addresses
Primary practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR22176600 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown of Faith & Training LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Mount Holly, NJ
- NPI 1659158277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1326643610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 WOODLANE RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080603804",
"telephone_number": "609-267-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WOODLANE RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080603804",
"telephone_number": "609-267-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GEORGIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR22176600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.