Individual provider Active NPI

Gail Lee Johnson, ANP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1902044308
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704087494 Issued in MI
Practice address
725 Mason St
Flint, MI 48503-2421
Phone
(810) 496-5543
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 363LP0808X MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704087494 MI Primary

Addresses

Primary practice location

725 Mason St
Flint, MI 48503-2421

Mailing address

26957 Northwestern Hwy
Suite 400
Southfield, MI 48033-4700
Phone (248) 798-6737

Other practice location 1

26957 Northwestern Hwy
Suite 400
Southfield, MI 48033-4700
Phone (248) 798-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090624000581 MI Practitioner - Nurse Practitioner 6608927082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

725 Mason St
Flint, MI 48503-2421
Phone (810) 496-5777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363LP0808XMIMDNurse Practitioner
4704087494MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Jan 1, 2021 Accepting new patients
Genesee Health System Nurse Practitioner CurrentSince Sep 1, 2018 Accepting new patients
Ennis Center for Children, Inc. CurrentSince Nov 22, 2019 Accepting new patients
Jawad a Shah, MD PC CurrentSince Jan 1, 2021 Accepting new patients
Genesee Health System Current Accepting new patients
Genesee Health System CurrentSince Sep 1, 2018 Accepting new patients

Locations

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

2298 S Center Rd
Flint, MI 48519
Phone (810) 496-5777

4800 S Saginaw St
Ste 1625
Flint, MI 48507
Phone (810) 275-9366

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

129 E 3rd St
Flint, MI 48502
Phone (810) 233-4031

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

Interoperability endpoints

  • Direct secure messaging: gail.johnsonpmhnpbcanpbc.p1@direct.gchc.nextgenshare.com

Organizations & group practices 6

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1902044308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26957 NORTHWESTERN HWY",
            "address_2": "SUITE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334700",
            "telephone_number": "248-798-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032421",
            "telephone_number": "810-496-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26957 Northwestern Hwy",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480334700",
            "country_code": "US",
            "telephone_number": "248-798-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GAIL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "363LP0808X",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704087494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.