Crystal Ivy Johstono, DNP, FNP-C, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN088169 Issued in GA

Practice address

400 Charter Blvd
Macon, GA 31210-4831

Phone

(478) 757-6000

Fax

(478) 757-6007

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555

  GA

  Medicare reassignment Care Compare group NPD
• Fort Oglethorpe Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
  • NPI 1174024376
  Medicare reassignment

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1376265314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CHARTER BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104831",
            "telephone_number": "478-757-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHARTER BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104831",
            "telephone_number": "478-757-6000",
            "fax_number": "478-757-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHSTONO",
        "first_name": "CRYSTAL",
        "middle_name": "IVY",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN088169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnsons Life and Health LLC
• Daniel H Johnston, PHD
• Kaleb Christian Johnston, MD
• Kim Walden Johnston, M.D.
• Michelle Johnston, AA
• Alaina George Dawson Joiner
• Tracy Joy Hurdle Joiner, CRNA
• Keambria Jolley, RBT
• Jones Medical
• Valerie Teresa Jones-Freeman, MD

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.