Individual provider Active NPI

Arlene Johnson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1811748619
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032083 Issued in FL
Practice address
5011 Gate Pkwy Ste 100
Jacksonville, FL 32256-0830
Phone
(904) 901-7913
Fax
(470) 222-2746
NPI assigned
Mar 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032083 FL Primary

Addresses

Primary practice location

5011 Gate Pkwy Ste 100
Jacksonville, FL 32256-0830

Mailing address

5011 Gate Pkwy Ste 100
Jacksonville, FL 32256-0830
Phone (904) 901-7913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240709003647 GA Practitioner - Nurse Practitioner 0042755597 Reassigns benefits to 2 organizations
I20250310003562 FL Practitioner - Nurse Practitioner 0042755597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1007 Scenic Park TRL
Lawrenceville, GA 30046-7122

47 High St
Suite 7
Medford, MA 02155-4676

6428 Beach Blvd
Jacksonville, FL 32216-2813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince May 23, 2024 Accepting new patients
Uhs of Anchor L.P. CurrentSince Jun 10, 2024 Accepting new patients
Uhs of Anchor L.P. Current Accepting new patients
Medical Specialists of Northeast Florida PLLC CurrentSince Mar 14, 2025 Accepting new patients
Author Health Professionals, PC CurrentSince Jul 31, 2025 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

6428 Beach Blvd
Jacksonville, FL 32216
Phone (904) 399-1623

9471 Baymeadows Rd
Ste 405
Jacksonville, FL 32256
Phone (904) 252-5025

6428 Beach Blvd
Ste 1A
Jacksonville, FL 32216
Phone (904) 342-0816

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

665 State Road 207
Ste 101B
Saint Augustine, FL 32084
Phone (386) 972-1066

5454 Yorktowne Dr
College Park, GA 30349
Phone (678) 251-3200

3995 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 434-4567

2160 Fountain Dr
Ste 100
Snellville, GA 30078
Phone (678) 344-8268

Interoperability endpoints

  • Direct secure messaging: arlene.johnson@521794035712004.direct.elationemr.com

Organizations & group practices 5

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": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1811748619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 GATE PKWY STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560830",
            "telephone_number": "904-901-7913",
            "fax_number": "470-222-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 GATE PKWY STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560830",
            "telephone_number": "904-901-7913",
            "fax_number": "470-222-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARLENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.