Cynthia T. Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN139146 Issued in GA

Practice address

152 S McKibben St
Jackson, GA 30233-2022

Phone

(678) 603-0369

Fax

(678) 603-0369

NPI assigned

Nov 12, 2017

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

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1447763594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S MCKIBBEN ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332022",
            "telephone_number": "678-603-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S MCKIBBEN ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302332022",
            "telephone_number": "678-603-0369",
            "fax_number": "678-603-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNTHIA",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-12",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN139146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Ga Opco LLC
• Jackson Pharmacy Services
• Joshua Michael Jacobson
• Leslie Diane Jarrett, NP
• Nicole Pritchett Jimerson, DO
• Jerwanda Johnson, FNP
• Julie B Johnson, PHYSICAL THERAPIST
• Taylor Johnson, CCC-SLP
• Valerie Michelle Jones, LPN
• Amanda Keese, PT ASSISTANT

• All providers in Jackson, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.