Destiny Nicole Johnson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Practice address

400 Ernest W Barrett Pkwy NW Ste 168
Kennesaw, GA 30144-4952

Phone

(706) 525-9907

NPI assigned

Sep 4, 2023

Last updated

Sep 4, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Georgia Hearing Aid Factory Outlet, Inc.

  dba Athens Hearing Aid Factory Outlet

  • Hearing Aid Equipment
  • Kennesaw, GA
  • NPI 1578166476

  Hearing Instrument Specialist

  NPD
• Georgia Hearing Aid Factory Outlet

  • Hearing Instrument Specialist
  • Dawsonville, GA
  • NPI 1548825565
  NPD (past)

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1932985264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ERNEST W BARRETT PKWY NW STE 168",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444952",
            "telephone_number": "706-525-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ERNEST W BARRETT PKWY NW STE 168",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444952",
            "telephone_number": "706-525-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESTINY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Jockers, D.C.
• Kimberlyn N Johnson-Ruise, FNP-C
• Shantel Sharie Johnson-Youngblood
• Alicia Kay Johnson
• Danielle Johnson
• Erin Johnson
• Hailey Johnson
• Jessica Elizabeth Johnson
• Kimberly Noel Johnson
• Millini Johnette Johnson, LPC

• Hearing Instrument Specialist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Hearing Instrument Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.