Individual provider Active NPI

Audra N Johnson, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1699536896
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP339970 Issued in GA
Practice address
6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone
(478) 254-2644
Fax
(478) 254-4924
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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 APRN-NP339970 GA Primary

Addresses

Primary practice location

6070 Lakeside Commons Dr
Macon, GA 31210-5778

Mailing address

PO Box 26790
Macon, GA 31221-6790
Phone (478) 254-2644

Other practice location 1

1654 Watson Blvd
Warner Robins, GA 31093-3439
Phone (478) 254-2644

Other practice location 2

321 S 9th St
Griffin, GA 30224-4111
Phone (478) 254-2644

Other practice location 3

679 W Martin Luther King Jr Dr
Milledgeville, GA 31061-2788
Phone (478) 254-2644

Other practice location 4

112 Corporate Sq
Dublin, GA 31021-4263
Phone (478) 254-2644

Other practice location 5

120 N Lee St
Forsyth, GA 31029-2122
Phone (478) 254-2644

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
I20251031001144 GA Practitioner - Nurse Practitioner 4880131721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 Hemlock St
Macon, GA 31201-2155

9340 Doe Creek CT
Peyton, CO 80831-6969

PO Box
Suite 13465
Macon, GA 31208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP339970GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Macon, LLC Nurse Practitioner CurrentSince Jul 29, 2025 Accepting new patients
Middle Georgia Heart and Vascular Center, LLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

112 Corporate Sq
Dublin, GA 31021

120 N Lee St
Forsyth, GA 31029
Phone (229) 271-4652

321 S 9th St
Griffin, GA 30224
Phone (770) 227-3561

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

3351 Northside Dr
Macon, GA 31210
Phone (478) 201-6500

6070 Lakeside Commons Dr
Macon, GA 31210
Phone (478) 960-9675

679 W Martin Luther King Jr Dr
Milledgeville, GA 31061

1654 Watson Blvd
Warner Robins, GA 31093
Phone (478) 225-9882

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAGBA
  • Direct secure messaging: ajohnson3046142@carolinashealthcaresystem.direct-ci.com

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1699536896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26790",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216790",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 LAKESIDE COMMONS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105778",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1654 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933439",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244111",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "679 W Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612788",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Corporate Sq",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310214263",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N Lee St",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "GA",
            "postal_code": "310292122",
            "country_code": "US",
            "telephone_number": "478-254-2644",
            "fax_number": "478-254-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AUDRA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP339970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.