Individual provider Active NPI

Lance M Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Demorest, GA
National Provider Identifier
1699795864
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R142266 Issued in GA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00819475AMedicaidGA
000819475BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000806 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274602818 Reassigns benefits to 15 organizations

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
Gi North Anesthesia, LLCGroup PAC ID 6204179773, 12 clinicians

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

LicenseStateTypeSpecialty
R142266GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Lanier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Advanced Gynecology PC CurrentSince Aug 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Aug 1, 2020 Accepting new patients
Advanced Gynecology PC Current Accepting new patients
Habersham Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2011 Accepting new patients
Sleep Ezzy CurrentSince Feb 15, 2020 Accepting new patients
Advanced Gynecology PC CurrentSince Aug 1, 2020 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Aug 2, 2019 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jul 1, 2017 Accepting new patients
Ambulatory Surgery Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2008 Accepting new patients
Anesthesia Associates of Gainesville, LLC CurrentSince May 1, 2022 Accepting new patients
Ambulatory Anesthesia of North Georgia, LLC CurrentSince May 1, 2022 Accepting new patients
Gi North Anesthesia, LLC CurrentSince Jan 30, 2020 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Aug 1, 2020 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2018 Accepting new patients
Oconee River Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 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. PastSince Oct 1, 2017 Accepting new patients
Advanced Gynecology PC PastSince Aug 1, 2020 Accepting new patients
Northeast Georgia Physicians Group Inc PastSince Aug 3, 2026 Accepting new patients
Braselton Endoscopy Center, LLC PastSince Aug 11, 2024 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

  • FHIR API: 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.

View all 24

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.

Verify at the official NPI Registry.