Active NPI
Montressa R Johnson
- Family Nurse Practitioner
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN287202
- Practice address
- 250 Bray St
Athens, GA 30601-2203 - Phone
- (706) 389-6789
- NPI assigned
- Oct 22, 2021
- Last updated
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| TLC of Georgia LLC | Family | Current | Accepting new patients |
| Advantage Behavioral Health Systems | Current | 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
- montressa.johnson.1@22854.direct.athenahealth.com
- 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.
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-
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- Athens, GA
- NPI 1942270558
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.