Jennifer Lynn Johnson, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN190791 Issued in GA

Practice address

915 Elmo St
Americus, GA 31709-3710

Phone

(229) 389-2038

Fax

(229) 924-9899

NPI assigned

Jan 29, 2013

Last updated

Feb 14, 2013By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Hospice and Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Villa Rica, GA
  • NPI 1790524585
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Southwest Georgia Center of Medicine, LLC

  • Family Medicine Physician
  • Americus, GA
  • NPI 1730418021
  NPD
• Angel Heart Hospice, LLC

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1700402443
  NPD (past)
• Georgia Cardiology Center, LLC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1619992138
  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1548508302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 PIN OAK TER",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310052600",
            "telephone_number": "478-320-2517",
            "fax_number": "478-328-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ELMO ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093710",
            "telephone_number": "229-389-2038",
            "fax_number": "229-924-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN190791",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN190791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin-Barry J Jerome, M.D.
• Jessica S Brown DMD LLC
• John D Marshall MD Inc
• Demicus Johnson
• Dionna Shaunta Johnson
• Marquisha Johnson
• Beverly Jones
• Bionka Jones, NURSE PRACTITIONER
• Cassandra Jones, AGNP-C
• Brian K. Jordan, D.O.

• Nurse Practitioner in Americus, GA
• Providers in Americus, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.