Kirstin Joanna Johnson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

094947 Issued in GA

Practice address

822 Chickamauga Ave
Rossville, GA 30741-1407

Phone

(706) 861-6458

Fax

(706) 866-6277

NPI assigned

Sep 20, 2025

Last updated

Sep 20, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Treatment of Georgia L P

  • Addiction (Substance Use Disorder) Counselor
  • Rossville, GA
  • NPI 1083595334
  NPD
• Neptune Clinical Group, Inc.

  dba Private Clinic North

  • Methadone Clinic
  • Rossville, GA
  • NPI 1669572335
  NPD

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1396617239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411407",
            "telephone_number": "706-861-6458",
            "fax_number": "706-866-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411407",
            "telephone_number": "706-861-6458",
            "fax_number": "706-866-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIRSTIN",
        "middle_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "094947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hutcheson Medical Center (dba Parkside at Hutcheson Medical)
• International Cancer Foundation
• Donna Marie James, LCSW
• Dana Jenkins
• Dana Gae Johnson, CADCII, CCS
• Snezana Brady Johnson, CADCII
• Daniel W. Jordan, LADAC II, CADC II
• Jose R Justiniano-Ayala, MD
• K-VA-T Food Stores Inc (Food City Pharmacy #217)
• Aaron Michael Kirkpatrick, OTR

• Licensed Practical Nurse in Rossville, GA
• Providers in Rossville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.