Alexis K Johnson-Nelson, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001257 Issued in GA

Practice address

145 Governors SQ Ste a
Fayetteville, GA 30215-4861

Phone

(678) 364-1300

Fax

(678) 364-1352

NPI assigned

Sep 15, 2010

Last updated

Nov 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1770891582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154861",
            "telephone_number": "678-364-1300",
            "fax_number": "678-364-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154861",
            "telephone_number": "678-364-1300",
            "fax_number": "678-364-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-NELSON",
        "first_name": "ALEXIS",
        "middle_name": "K",
        "credential": "IMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F-1200001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Corbitt Freeman, M.D., P.C. (Pavilion Women's Care)
• John a Keller, MD, PC (Fayetteville Family Practice)
• John K Kendrick DMD PC
• Edsworth S John, MD
• Diahann Johnbaptiste, MPA, MS, LPC
• Altee S Johnson, M.D.
• Bernadette Johnson, PHARMD
• Cortney Johnson
• Donshae Johnson
• Durwood M Johnson Jr., DMD

• Marriage & Family Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.