Tracie Baker Johnson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN054416 Issued in GA

Practice address

50 Hwy 56 North
Swainsboro, GA 30401

Phone

(478) 237-7501

Fax

(478) 289-2501

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By 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

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.

• Emanuel County Board of Health

  dba Emanuel County Health Department

  • Public Health or Welfare Agency
  • Swainsboro, GA
  • NPI 1013967728
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447332275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304010436",
            "telephone_number": "478-237-7501",
            "fax_number": "478-289-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HWY 56 NORTH",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "30401",
            "telephone_number": "478-237-7501",
            "fax_number": "478-289-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACIE",
        "middle_name": "BAKER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN054416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jap Healthcare Services, LLC
• Amanda Sweat Jarriel, FNP-C
• Angela Joy Jernigan, R.N.
• Jimmy D Bellamy DMD LLC
• Marian Holley Johnson Barrick, R.N.
• Harley Kemp Jones Jr., O.D.
• April Michelle Kea
• Jency Stevens Kea, RN
• Lakeisa Kemp
• Lisa Riner Kight

• Licensed Practical Nurse in Swainsboro, GA
• Providers in Swainsboro, 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 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.