Individual provider Active NPI

Corella James-Johnson, PA-C

  • Physician Assistant
  • Fort Benning, GA
National Provider Identifier
1730114745
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003337 Issued in GA
Practice address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone
(762) 408-2273
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003337 GA Primary

Addresses

Primary practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Mailing address

1639 Bradley Park Dr Ste 500
Columbus, GA 31904-3623
Phone (762) 408-3659

Other identifiers 2

IdentifierTypeStateIssuer
964228085AMedicaidGA
964228085CMedicaidGA

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
I20081230000400 GA Practitioner - Physician Assistant 0042372955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3337GAMDProfessional Counselor
003337GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Psychiatrist ,LLC Current Accepting new patients
St Francis Affiliated Services LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Affiliated Services LLC Physician Assistant CurrentSince Jan 1, 2016 Accepting new patients
St Francis Columbus Clinic LLC Physician Assistant Current Accepting new patients
Mac - Macon Road LLC Current Accepting new patients
Mac-Lumpkin Rd LLC PastSince Aug 1, 2011 Accepting new patients
Phoebe Physician Group, Inc PastSince Mar 19, 2023 Accepting new patients
St Francis Physician Practices LLC Past Accepting new patients

Locations

705 17th St
Columbus, GA 31901
Phone (706) 243-4404

610 19th St
Columbus, GA 31901
Phone (706) 322-7884

3465 Macon Rd
Ste D
Columbus, GA 31907
Phone (706) 243-3051

Interoperability endpoints

  • Direct secure messaging: corella.james-johnson@sfhga.gadirect.net
  • Direct secure messaging: corella.jamesjohnson@gadirect.net

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1730114745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BRADLEY PARK DR STE 500",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043623",
            "telephone_number": "762-408-3659",
            "fax_number": "762-408-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319052102",
            "telephone_number": "762-408-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-JOHNSON",
        "first_name": "CORELLA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964228085A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964228085C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

Verify at the official NPI Registry.