Individual provider Active NPI

Britni Layne-Gardiner Johnson, NP

  • Gerontology Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1881375723
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN278186 Issued in GA
Practice address
6602 Waters Ave BLDG C
Savannah, GA 31406-2778
Phone
(912) 354-7676
Fax
(912) 354-6040
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN278186 GA Primary

Addresses

Primary practice location

6602 Waters Ave BLDG C
Savannah, GA 31406-2778

Mailing address

6602 Waters Ave BLDG C
Savannah, GA 31406-2778
Phone (912) 354-7676

Other practice location 1

6602 Waters Ave Bldg C
Savannah, GA 31406-2778
Phone (912) 354-7676

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
I20231106002590 GA Practitioner - Nurse Practitioner 3072960525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6602 Waters Ave
BLDG C
Savannah, GA 31406-2778
Phone (912) 354-7676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN278186GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Neurology Specialists P C CurrentSince Sep 20, 2023 Accepting new patients

Locations

6602 Waters Ave
Bldg C
Savannah, GA 31406
Phone (912) 354-7676

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1881375723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 WATERS AVE BLDG C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062778",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 Waters Ave Bldg C",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062778",
            "country_code": "US",
            "telephone_number": "912-354-7676",
            "fax_number": "912-354-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRITNI",
        "middle_name": "LAYNE-GARDINER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN278186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.