Avis Felecia Johnson-Smith, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R066396 Issued in GA

Practice address

707 N Jefferson St
Albany, GA 31701-2360

Phone

(229) 431-2030

Fax

(229) 431-2030

NPI assigned

Jul 12, 2006

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Expressions - the Mind & Body'S Healing Connection

  • Pediatric Nurse Practitioner
  • Albany, GA
  • NPI 1649114257
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407871635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012360",
            "telephone_number": "229-431-2030",
            "fax_number": "229-431-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012360",
            "telephone_number": "229-431-2030",
            "fax_number": "229-431-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-SMITH",
        "first_name": "AVIS",
        "middle_name": "FELECIA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "R066396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JMR Homecare, LLC
• John M Dixon MD PC
• Andrew Thomas Johns, PA
• Hezikiah Brodrick Johnson III, O.D.
• Whitney Nikita Johnson-Hope, BS
• Adrian M. Johnson, M.S.
• Barbara Lynn Johnson, DDS
• Falan Collier Johnson, PHARMD
• Heather Constance Johnson, FNP
• Jan Ray Johnson, R.PH.

• Nurse Practitioner in Albany, GA
• Providers in Albany, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.