Jade Johnson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3217 S Cherokee LN Ste 730
Woodstock, GA 30188-7053

Phone

(678) 694-1573

NPI assigned

Oct 17, 2023

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1548042336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 HAMBY PLACE DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301026461",
            "telephone_number": "678-595-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 S CHEROKEE LN STE 730",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887053",
            "telephone_number": "678-694-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 S Cherokee Ln Bldg 1200",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301884461",
            "country_code": "US",
            "telephone_number": "678-694-1573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4343 Shallowford Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300625067",
            "country_code": "US",
            "telephone_number": "678-694-1573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Old Milton Pkwy Fl 395",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300053707",
            "country_code": "US",
            "telephone_number": "678-694-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K. Dooley, D.D.S., P.C.
• Allyssa Johnson
• Anita Johnson, M.D.
• Erin Reese Johnson, LPC
• Gina B. Johnson, DMD
• Margaret H Johnson, CNP
• Sereina Rose Johnson
• Shannon Yow Johnson, PHARM D.
• Timothy Howard Johnson, PT
• Maria Gabrieli Jolly

• Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.