Individual provider Active NPI

Marjorie Ann Johnson, RN, CCRN, CCM

  • Case Management Registered Nurse
  • Fort Stewart, GA
National Provider Identifier
1396403937
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN059108 Issued in GA
Practice address
192 Lindquist Rd
Fort Stewart, GA 31314-5000
Phone
(912) 435-5662
Fax
(912) 435-5852
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN059108 GA Primary

Addresses

Primary practice location

192 Lindquist Rd
Fort Stewart, GA 31314-5000

Mailing address

192 Lindquist Rd
Fort Stewart, GA 31314-5000
Phone (912) 435-5662

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN059108GAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1396403937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 LINDQUIST RD",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145000",
            "telephone_number": "912-435-5662",
            "fax_number": "912-435-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 LINDQUIST RD",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145000",
            "telephone_number": "912-435-5662",
            "fax_number": "912-435-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARJORIE",
        "middle_name": "ANN",
        "credential": "RN, CCRN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN059108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.