Individual provider Active NPI

Carol Johnson, NP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1548680127
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197812 Issued in GA
Practice address
2305 Highway 34 E
Newnan, GA 30265-1329
Phone
(866) 389-2727
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN197812 GA Primary

Addresses

Primary practice location

2305 Highway 34 E
Newnan, GA 30265-1329

Mailing address

2305 Highway 34 E
Newnan, GA 30265-1329

Other identifiers 4

IdentifierTypeStateIssuer
003175478CMedicaidGA
003175478BMedicaidGA
003175478DMedicaidGA
003175478AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150731015075 GA Practitioner - Nurse Practitioner 7911211164 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia ENT, LLCGroup PAC ID 3779021118, 12 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1000 Commerce Dr
Suite 200
Peachtree City, GA 30269-3520
Phone (470) 489-0090

2305 Hwy 34 E
Newnan, GA 30265-1329
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jan 15, 2026 Accepting new patients
Magnolia ENT, LLC CurrentSince Sep 1, 2024 Accepting new patients
Primary Care PLLC Family CurrentSince Jan 16, 2026 Accepting new patients
Milton Hall Surgical Associates, LLC Past Accepting new patients

Locations

1015 Lafayette Pkwy
Ste 130
Lagrange, GA 30241
Phone (470) 489-0090

2305 Highway 34 E
Newnan, GA 30265
Phone (678) 423-1043

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

1000 Commerce Dr
Ste 200
Peachtree Cty, GA 30269
Phone (470) 489-0090

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

1365 Rock Quarry Rd
Ste 300
Stockbridge, GA 30281
Phone (470) 489-0090

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1548680127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175478C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175478B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175478D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175478A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.