Luisa Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN328484 Issued in GA

Practice address

1 Doctors Park
Cairo, GA 39828-3072

Phone

(229) 378-8110

Fax

(229) 378-8109

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Luisa Wondra Former name

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Quail Ridge Family Practice, LLCGroup PAC ID 8628043957, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grady General Hospital Hospital, Cairo, GA, CCN 110121
• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

Merit-based Incentive Payment System (MIPS)

Final score

90.42 of 100Reported as group

Quality

80.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: luisa.johnson.1@8042.direct.athenahealth.com

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Quail Ridge Family Practice, LLC

  • Family Medicine Physician
  • Cairo, GA
  • NPI 1457314999
  Medicare reassignment Care Compare group NPD
• John Ness MD PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1265605414
  Medicare reassignment NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Julie Kelch MD PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972776128
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507
  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  dba Archbold Memorial

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702
  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  dba John D. Archbold Memorial Hospital - Rehab

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738
  Care Compare affiliation

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1669912457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283072",
            "telephone_number": "229-378-8110",
            "fax_number": "229-378-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283072",
            "telephone_number": "229-378-8110",
            "fax_number": "229-378-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3427 Bannerman Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323127058",
            "country_code": "US",
            "telephone_number": "941-727-5088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 McDaniel St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323036249",
            "country_code": "US",
            "telephone_number": "850-877-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9258834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9258834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN328484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUISA",
            "last_name": "WONDRA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John D. Archbold Memorial Hospital, Inc. (Archbold - Grady Specialty Clinic)
• John D. Archbold Memorial Hospital, Inc. (Grady County Dialysis Facility)
• Chandra A Johnson, LCSW
• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C
• Shenkia Isadora Johnson, LPN
• Katherine T Kelley, CRNA
• Jennifer Kendrick, D.M.D.
• Kenneth Harrison Medical LLC
• Rachel S King, CCC-SLP

• Family Nurse Practitioner in Cairo, GA
• Providers in Cairo, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.