Active NPI
Vicky Lenette Johnson, FNP-C
- Primary Care Nurse Practitioner
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN201739
- Practice address
- 2491 Panola Rd
Lithonia, GA 30058-4831 - Phone
- (678) 205-4999
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN201739 | GA | Primary |
Addresses
Primary practice location
2491 Panola Rd
Lithonia, GA 30058-4831
Mailing address
1315 Wild Rose Dr SE
Conyers, GA 30013-7444
Phone (678) 852-5475
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210
14779 Brown Bridge Rd
Covington, GA 30016-4127
Phone (770) 788-7777
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Current | Accepting new patients | |
| Georgia Family Care, LLC | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEFBDA
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
-
- Family Medicine Physician
- Lithonia, GA
- NPI 1912093584
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1396116034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 WILD ROSE DR SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300137444",
"telephone_number": "678-852-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2491 PANOLA RD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300584831",
"telephone_number": "678-205-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VICKY",
"middle_name": "LENETTE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN201739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.