Individual provider Active NPI

Susan Johnston, NP

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1417389669
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN117517 Issued in GA
Practice address
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone
(404) 605-2800
Fax
(404) 351-5983
NPI assigned
Jul 30, 2013
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN117517 GA Primary

Addresses

Primary practice location

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709

Mailing address

275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone (404) 605-2800

Other practice location 1

2340 Perimeter Park Dr Ste 100
Atlanta, GA 30341-1318
Phone (770) 847-8900

Other practice location 2

598 Nancy St NW Ste 100
Marietta, GA 30060-1375
Phone (770) 742-6333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000811 GA Practitioner - Nurse Practitioner 3173757002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Infusion of Georgia LLCGroup PAC ID 2567966245, 2 clinicians
Pure Healthcare of Georgia LLCGroup PAC ID 4385030170, 3 clinicians

Practice addresses (Care Compare)

598 Nancy St NW
Suite 100
Marietta, GA 30060-1362
Phone (770) 742-6333

598 Nancy St NW
Suite 100
Marietta, GA 30060-1375
Phone (770) 742-6333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Healthcare of Georgia LLC CurrentSince Oct 27, 2025 Accepting new patients
NGX Lawrenceville Ga PC CurrentSince Sep 11, 2023 Accepting new patients
Pure Infusion of Georgia LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

2340 Perimeter Park Dr
Ste 100
Atlanta, GA 30341
Phone (770) 847-8900

1470 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (678) 486-7777

598 Nancy St NW
Ste 100
Marietta, GA 30060
Phone (770) 742-6333

4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1417389669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091709",
            "telephone_number": "404-605-2800",
            "fax_number": "404-351-5983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Perimeter Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411318",
            "country_code": "US",
            "telephone_number": "770-847-8900",
            "fax_number": "678-802-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 Nancy St NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601375",
            "country_code": "US",
            "telephone_number": "770-742-6333",
            "fax_number": "678-310-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN117517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.