Individual provider Active NPI

Lolita Jones-Johnson

  • Case Manager/Care Coordinator
  • Kennesaw, GA
National Provider Identifier
1346305265
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3355 George Busbee Pkwy NW
724
Kennesaw, GA 30144-6823
Phone
(678) 502-0341
Fax
(770) 514-2803
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3355 George Busbee Pkwy NW
724
Kennesaw, GA 30144-6823

Mailing address

3355 George Busbee Pkwy NW
724
Kennesaw, GA 30144-6823
Phone (678) 502-0341

Other identifiers 3

IdentifierTypeStateIssuer
000734687EOtherGAPEACHSTATE PROVIDER #
10047949OtherGAAMERIGROUP
000734684EMedicaidGA

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1346305265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GEORGE BUSBEE PKWY NW",
            "address_2": "724",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446823",
            "telephone_number": "678-502-0341",
            "fax_number": "770-514-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 GEORGE BUSBEE PKWY NW",
            "address_2": "724",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446823",
            "telephone_number": "678-502-0341",
            "fax_number": "770-514-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-JOHNSON",
        "first_name": "LOLITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE PROVIDER #",
            "identifier": "000734687E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10047949",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000734684E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.