Individual provider Active NPI

Danielle Johnson, FNP-C

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1396398053
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249228 Issued in GA
Practice address
101 Willie Lee Pkwy
Warner Robins, GA 31088-9244
Phone
(478) 477-0966
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249228 GA
Family Nurse Practitioner 363LF0000X RN249228 GA Primary
Family Nurse Practitioner 363LF0000X APRN11040015 FL

Addresses

Primary practice location

101 Willie Lee Pkwy
Warner Robins, GA 31088-9244

Mailing address

209 N Camellia Blvd
Fort Valley, GA 31030-3368
Phone (478) 822-0054

Other practice location 1

1201 W Peachtree St NW Ste 2300
Atlanta, GA 30309-3453
Phone (904) 586-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191210001220 GA Practitioner - Nurse Practitioner 3779916598 Reassigns benefits to 1 organization
I20250613002312 FL Practitioner - Nurse Practitioner 3779916598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians
McPherson Medical and Diagnostic LLCGroup PAC ID 5698773539, shared by 11 NPIs, 88 clinicians

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

304 Teaco Rd
Kennett, MO 63857-3268
Phone (573) 717-1072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
249228GAMDFamily Medicine Physician
APRN11040015FLMDFamily Nurse Practitioner
RN249228GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Clinicians, LLC Family Medicine CurrentSince Jun 9, 2025 Accepting new patients
Southern Primary Care, LLC CurrentSince Dec 13, 2023 Accepting new patients
Travel Doctor, PL CurrentSince Jun 9, 2025 Accepting new patients
Southern Primary Care, LLC CurrentSince Dec 13, 2023 Accepting new patients
Pcos Sisters Telehealth Clinic & Wellness Center, LLC Family Medicine Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

6501 Peake Rd
Ste 400
Macon, GA 31210
Phone (478) 477-0966

197 Bass Rd
Macon, GA 31210
Phone (478) 365-2164

101 Willie Lee Pkwy
Warner Robins, GA 31088
Phone (478) 477-0966

101 Willie Lee Pkwy
Ste 400
Warner Robins, GA 31088
Phone (478) 242-3880

Interoperability endpoints

  • Direct secure messaging: danielle.johnson.1@30520.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1396398053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CAMELLIA BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303368",
            "telephone_number": "478-822-0054",
            "fax_number": "478-822-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILLIE LEE PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889244",
            "telephone_number": "478-477-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W Peachtree St NW Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303093453",
            "country_code": "US",
            "telephone_number": "904-586-1964",
            "fax_number": "888-597-2357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "249228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249228",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.