Holli B Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN229012 Issued in GA

Practice address

802 Hwy 119 S
Springfield, GA 31329-3014

Phone

(912) 754-6484

Fax

(912) 754-7623

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Effingham County Board of Health

  dba Effingham County Health Department

  • Public Health or Welfare Agency
  • Springfield, GA
  • NPI 1093039554
  NPD (past)
• Effingham County Board of Health

  dba Effingham County Health Department

  • Public Health or Welfare Agency
  • Springfield, GA
  • NPI 1326046582
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1437819893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290350",
            "telephone_number": "912-754-6484",
            "fax_number": "912-754-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 HWY 119 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293014",
            "telephone_number": "912-754-6484",
            "fax_number": "912-754-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLI",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN229012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Henson, PA
• Anna Horne, PA
• Hospital Authority of Effingham County (Effingham County Extended Care Facility)
• Zatara Holland Howard, PT
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2404)
• Kendall A Johnson, LMSW
• Kaitlyn Nicole Kelly, PA
• Stacey Kieffer, RN, CCM, COHN-S
• Jean-Paul Landry, MD
• Pamela Lane

• Registered Nurse in Springfield, GA
• Providers in Springfield, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.