Individual provider Active NPI

Kristie Michelle Johnson, DNP, RN, NP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1942647771
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-094247 Issued in AL
Practice address
101 13TH St
Columbus, GA 31901-2101
Phone
(706) 494-4949
Fax
(706) 494-4940
NPI assigned
Jun 3, 2013
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-094247 AL Primary

Addresses

Primary practice location

101 13TH St
Columbus, GA 31901-2101

Mailing address

130 Lee Road 537
Salem, AL 36874-4782
Phone (706) 888-7865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20131008001423 GA Practitioner - Nurse Practitioner 2466686357 Reassigns benefits to 3 organizations
I20151222000115 AL Practitioner - Nurse Practitioner 2466686357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Area Primary Care LLCGroup PAC ID 1658672530, 9 clinicians

Practice addresses (Care Compare)

267 Fob James Dr
Valley, AL 36854-5077
Phone (334) 756-4860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-094247ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Emergence CurrentSince Jan 6, 2020 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Dec 30, 2017 Accepting new patients
Valley Area Primary Care, LLC CurrentSince Dec 1, 2016 Accepting new patients
Urgencare, LLC CurrentSince Jul 20, 2024 Accepting new patients
Lagrange Emergency Physicians, LLC CurrentSince Aug 15, 2013 Accepting new patients

Locations

2000 Samglenn Dr
Ste 200
Auburn, AL 36830
Phone (334) 752-7022

267 Fob James Dr
Valley, AL 36854
Phone (334) 364-3330

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

7901 Veterans Pkwy
Columbus, GA 31909
Phone (706) 221-6800

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19151/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristiejohnson@vamp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1942647771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LEE ROAD 537",
            "city": "SALEM",
            "state": "AL",
            "postal_code": "368744782",
            "telephone_number": "706-888-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 13TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012101",
            "telephone_number": "706-494-4949",
            "fax_number": "706-494-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-094247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.