Individual provider Active NPI

Montressa R Johnson

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1548924921
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN287202 Issued in GA
Practice address
250 Bray St
Athens, GA 30601-2203
Phone
(706) 389-6789
NPI assigned
Oct 22, 2021
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN287202 GA Primary
Registered Nurse 163W00000X RN287202 GA

Addresses

Primary practice location

250 Bray St
Athens, GA 30601-2203

Mailing address

606 Baylor Ave
Commerce, GA 30529-3916
Phone (706) 491-5313

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
I20240506003528 GA Practitioner - Nurse Practitioner 4587004601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince May 2, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince May 2, 2025 Accepting new patients
TLC of Georgia LLC Family CurrentSince Feb 3, 2025 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Oct 24, 2021 Accepting new patients

Locations

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1685 Old Pendergrass Rd
Jefferson, GA 30549
Phone (706) 387-7620

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

Interoperability endpoints

  • Direct secure messaging: montressa.johnson.1@22854.direct.athenahealth.com
  • Direct secure messaging: montressa.johnson@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1548924921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BAYLOR AVE",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305293916",
            "telephone_number": "706-491-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BRAY ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012203",
            "telephone_number": "706-389-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONTRESSA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN287202",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN287202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.