Individual provider Active NPI

Brandilyn Johnson, NP-C

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1578878658
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN162979NP Issued in GA
Practice address
6600 Whittlesey Blvd
Columbus, GA 31909-7334
Phone
(706) 323-3491
Fax
(706) 660-9191
NPI assigned
Aug 12, 2010
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN162979NP GA Primary

Addresses

Primary practice location

6600 Whittlesey Blvd
Columbus, GA 31909-7334

Mailing address

6600 Whittlesey Blvd
Columbus, GA 31909-7334
Phone (706) 323-3491

Other identifiers 1

IdentifierTypeStateIssuer
003136036CMedicaidGA

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
I20130808000572 GA Practitioner - Nurse Practitioner 8022294107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN162979NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Lab of Skin Cancer Specialists, P.C. CurrentSince Dec 1, 2020 Accepting new patients
Aqua Dermatology of Georgia PC CurrentSince Dec 1, 2020 Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
SFH Columbus Cardiology, LLC PastSince Sep 1, 2014 Accepting new patients
West Georgia Eye Care Center, PA PastSince Aug 22, 1994 Accepting new patients

Locations

10 Cloverleaf Dr
Cartersville, GA 30120
Phone (770) 386-1261

1150 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 257-4189

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

705 17th St
Ste 300
Columbus, GA 31901
Phone (706) 322-7884

850 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 336-8888

835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557

835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815

2045 Highway 34 E
Newnan, GA 30265
Phone (770) 502-0202

Interoperability endpoints

  • Direct secure messaging: brandilyn.johnson@gadirect.net
  • Direct secure messaging: brandilyn.johnson@sfhga.gadirect.net
  • Direct secure messaging: brandilynjohnson@mld.allscriptsdirect.net

Organizations & group practices 6

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1578878658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WHITTLESEY BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097334",
            "telephone_number": "706-323-3491",
            "fax_number": "706-660-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WHITTLESEY BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319097334",
            "telephone_number": "706-323-3491",
            "fax_number": "706-660-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDILYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN162979NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136036C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.