Active NPI
Lance M Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Demorest, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R142266
- Practice address
- 541 Historic Hwy 441 N
Demorest, GA 30535 - Phone
- (706) 839-6205
- Fax
- (706) 754-9668
- NPI assigned
- Jul 20, 2006
- Last updated
- Oct 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R142266 | GA | Primary |
Addresses
Primary practice location
541 Historic Hwy 441 N
Demorest, GA 30535
Mailing address
PO Box 369
Turnerville, GA 30580-0369
Phone (706) 839-6205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00819475A | Medicaid | GA | |
| 000819475B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4150 Deputy Bill Cantrell Memorial Rd
Suite 200
Cumming, GA 30040-3005
Phone (404) 446-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R142266 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Lanier Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Gynecology PC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients | |
| Advanced Gynecology PC | Current | Accepting new patients | |
| Habersham Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sleep Ezzy | Current | Accepting new patients | |
| Advanced Gynecology PC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Urology Anesthesia, LLC | Current | Accepting new patients | |
| Greater Atlanta Anesthesia, LLC | Current | Accepting new patients | |
| Ambulatory Surgery Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Gainesville, LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia of North Georgia, LLC | Current | Accepting new patients | |
| Gi North Anesthesia, LLC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, LLC | Current | Accepting new patients | |
| Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oconee River Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gainesville Endoscopy Center, LLC | Past | Accepting new patients | |
| Gi North Endoscopy.LLC | Past | Accepting new patients | |
| Digestive Healthcare of Ga, P.C. | Past | Accepting new patients | |
| Advanced Gynecology PC | Past | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Past | Accepting new patients | |
| Braselton Endoscopy Center, LLC | Past | Accepting new patients |
Locations
340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125
4150 Dep Bill Cantrell Memorial Rd
Ste 200
Cumming, GA 30040
Phone (404) 446-0600
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240
1488 Jesse Jewell Pkwy SE
Ste 201
Gainesville, GA 30501
Phone (678) 253-0175
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
475 Philip Blvd
Ste 304
Lawrenceville, GA 30046
Phone (678) 377-8252
892 Legacy Park Dr
Lawrenceville, GA 30043
11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550
1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985
Interoperability endpoints
- https://662acb6b-2e6a-4a18-a64c-d0df200218d5.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 24
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.
-
- Anesthesiology Physician
- Cumming, GA
- NPI 1750877676
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Watkinsville, GA
- NPI 1093296824
-
- Specialist
- Snellville, GA
- NPI 1215365242
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Anesthesiology Physician
- Gainesville, GA
- NPI 1497870562
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1336328293
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gainesville, GA
- NPI 1457456485
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1942563242
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1285043158
-
- Certified Registered Nurse Anesthetist
- Demorest, GA
- NPI 1134149420
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1003443722
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Watkinsville, GA
- NPI 1992325641
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286755200000",
"number": "1699795864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "TURNERVILLE",
"state": "GA",
"postal_code": "305800369",
"telephone_number": "706-839-6205",
"fax_number": "706-754-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 HISTORIC HWY 441 N",
"city": "DEMOREST",
"state": "GA",
"postal_code": "30535",
"telephone_number": "706-839-6205",
"fax_number": "706-754-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LANCE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "R142266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00819475A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000819475B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demorest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.