Individual provider Active NPI

Robyn Leigh Johnson, FNP-BC

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1609217108
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN181646 Issued in GA
Practice address
3030 McEver Rd
Building 1, Suite 130
Gainesville, GA 30504-5579
Phone
(678) 450-0747
Fax
(678) 450-0779
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 RN181646 GA Primary

Addresses

Primary practice location

3030 McEver Rd
Building 1, Suite 130
Gainesville, GA 30504-5579

Mailing address

3030 McEver Rd
Building 1, Suite 130
Gainesville, GA 30504-5579
Phone (678) 450-0747

Other identifiers 1

IdentifierTypeStateIssuer
RN181646OtherGAAPRN NUMBER

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
I20150507000926 GA Practitioner - Nurse Practitioner 7810216132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Nov 30, 2019 Accepting new patients
Green Willow Pediatrics Past Accepting new patients

Locations

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1609217108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MCEVER RD",
            "address_2": "BUILDING 1, SUITE 130",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045579",
            "telephone_number": "678-450-0747",
            "fax_number": "678-450-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 MCEVER RD",
            "address_2": "BUILDING 1, SUITE 130",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045579",
            "telephone_number": "678-450-0747",
            "fax_number": "678-450-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBYN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN181646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN NUMBER",
            "identifier": "RN181646",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.