Individual provider Active NPI

Michelle Verone Johnson - Monteith, NP

  • Nurse Practitioner
  • Sharpsburg, GA
National Provider Identifier
1679173116
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN163740 Issued in GA
Practice address
105 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680
Phone
(678) 633-3260
NPI assigned
Oct 26, 2020
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN163740 GA Primary
Internal Medicine Physician 207R00000X RN163740 GA

Addresses

Primary practice location

105 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680

Mailing address

105 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680
Phone (678) 633-3260

Other practice location 1

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6149

Other practice location 2

329 Granite Way
Newnan, GA 30265-6065
Phone (404) 451-2339

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
I20210407001611 GA Practitioner - Nurse Practitioner 0840607966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN163740GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 12, 2021 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

105 Fischer Marketplace Ln
Ste 100
Sharpsburg, GA 30277
Phone (678) 633-3260

62742 Collections Ctr Dr
Chicago, IL 60693

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1679173116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FISCHER MARKETPLACE LN STE 100",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773680",
            "telephone_number": "678-633-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FISCHER MARKETPLACE LN STE 100",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773680",
            "telephone_number": "678-633-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Celebrate Life Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658001",
            "country_code": "US",
            "telephone_number": "770-400-6149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Granite Way",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656065",
            "country_code": "US",
            "telephone_number": "404-451-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON - MONTEITH",
        "first_name": "MICHELLE",
        "middle_name": "VERONE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN163740",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN163740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

Verify at the official NPI Registry.