Teresa W Johnson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN078675 Issued in GA

Practice address

220 Northside Dr
Valdosta, GA 31602-1858

Phone

(229) 241-2800

Fax

(229) 241-0454

NPI assigned

Jan 16, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, MT, MI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.johnson1@gadirect.net
• Direct secure messaging: teresajohnson@sobgyn.allscriptsdirect.net
• Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

• Southern OB GYN Associates P C

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
  • NPI 1801951454
  Medicare reassignment NPD
• Kalispell Regional Medical Center Inc

  • General Acute Care Hospital
  • Kalispell, MT
  • NPI 1417945627
  Medicare reassignment
• Spectrum Health Hospitals

  • Hospitalist Physician
  • Grand Rapids, MI
  • NPI 1558407189
  Medicare reassignment
• Spectrum Health Primary Care Partners

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235188673
  Medicare reassignment
• Kalispell Regional Medical Center, Inc

  • Radiology Clinic/Center
  • Whitefish, MT
  • NPI 1073362463
  NPD
• Kalispell Regional Medical Center, Inc

  • Clinic/Center
  • Kalispell, MT
  • NPI 1992395180
  NPD
• Diana Health TN, PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1457020844

  Advanced Practice Midwife

  NPD (past)
• Jack M Rowland, MD, LLC

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
  • NPI 1609095108
  NPD (past)
• Kalispell Regional Medical Center, Inc

  • Surgery Physician
  • Kalispell, MT
  • NPI 1215527403
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1841341500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021858",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021858",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Claremont St Ste A",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013500",
            "country_code": "US",
            "telephone_number": "406-858-8200",
            "fax_number": "406-858-6803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERESA",
        "middle_name": "W",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN078675",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "276718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889105B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Claremont St Ste A",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline Marie Johnson, FNP-C
• Morgan Johnson, SLP
• Octavia T Johnson
• Patricia D Johnson, PP
• Rosalyn A Johnson, LMFT
• Tondra Lynette Johnson
• Tykeshia Johnson, PARAPROFESSIONAL
• Joiner and Lane Migraine Aesthetic Wellness Spa LLC
• Stacey Lynne Joiner, RN
• Jenny Jolly, LMFT

• Advanced Practice Midwife in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.