Individual provider Active NPI

Kelsey Michelle Johnson, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1700245602
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN217099 Issued in GA
Practice address
865 N Highland Ave NE
Atlanta, GA 30306-4565
Phone
(404) 733-6089
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN217099 GA
Family Nurse Practitioner 363LF0000X RN217099 GA Primary

Addresses

Primary practice location

865 N Highland Ave NE
Atlanta, GA 30306-4565

Mailing address

865 N Highland Ave NE
Atlanta, GA 30306-4565
Phone (404) 733-6089

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
I20160316001404 GA Practitioner - Nurse Practitioner 9830495936 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical LLC Current Accepting new patients
Innovative Infusions, LLC CurrentSince Jan 8, 2021 Accepting new patients
Nak Union, Inc CurrentSince Dec 1, 2019 Accepting new patients
Innovative Infusions, LLC CurrentSince Jan 8, 2021 Accepting new patients
Vitalcare Health Services PC CurrentSince Oct 1, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 17, 2020 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Vitalcare Medical Services PA PastSince Aug 25, 2025 Accepting new patients

Locations

4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

5530 Old National Hwy
Ste C
College Park, GA 30349
Phone (678) 466-6511

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

125 Pavilion Pkwy
Ste A
Fayetteville, GA 30214
Phone (770) 719-0932

3051 Whiteside Rd
Macon, GA 31216
Phone (478) 347-2400

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

Interoperability endpoints

  • Direct secure messaging: kelsey.johnson@552337174953988.direct.elationemr.com
  • Direct secure messaging: kelsey.johnson@779530956636164.direct.elationemr.com
  • Direct secure messaging: kelsey.johnson@782095967715332.direct.elationemr.com

Organizations & group practices 8

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": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1700245602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 N HIGHLAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064565",
            "telephone_number": "404-733-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N HIGHLAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064565",
            "telephone_number": "404-733-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN217099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.