Nikkia F. Johnson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

001278 Issued in GA

Practice address

39 Kent Rd Ste 5
Tifton, GA 31794-1697

Phone

(229) 353-7337

Fax

(229) 391-4051

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nikkia F. Lawrence Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikka.lawrence@crispregional.gadirect.net

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.

• Tift Regional Health System Inc

  • Family Medicine Physician
  • Tifton, GA
  • NPI 1881203305
  Medicare reassignment NPD
• Tift Regional Health System Inc

  • Clinic/Center
  • Tifton, GA
  • NPI 1003980996
  NPD
• Tift Regional Health System Inc

  • Pediatrics Physician
  • Tifton, GA
  • NPI 1366765166
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1750402731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 KENT RD STE 5",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941697",
            "telephone_number": "229-353-7337",
            "fax_number": "229-391-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENT RD STE 5",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941697",
            "telephone_number": "229-353-7337",
            "fax_number": "229-391-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 3rd Ave East",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "31015",
            "country_code": "US",
            "telephone_number": "229-271-2229",
            "fax_number": "229-276-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NIKKIA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "001278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459384605A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikkia.johnson@trhs.cernerdirect.com",
            "affiliation": "N",
            "address_1": "39 Kent Rd Ste 5",
            "city": "Tifton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317941697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NIKKIA",
            "last_name": "LAWRENCE",
            "middle_name": "F.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nettie Johnson-McAllister, FNP-C
• Brian James Johnson, RPH
• Carl David Johnson III, MD
• Joel M Johnson, MD
• Maureen Johnson, PA-C
• Rebecca Suzanna Johnson
• Yolonda Tanika Johnson
• Holly Elizabeth Jones, LPC
• Paige Huston Jones, NP
• Sheila P Jones, NP-C

• Pediatrics Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.