Susannah Johnson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN242801 Issued in GA

Practice address

260 Corporate Center Dr Ste E
Stockbridge, GA 30281-7215

Phone

(678) 691-6500

Fax

(678) 691-6500

NPI assigned

Mar 4, 2017

Last updated

Sep 25, 2024By 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 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susannah.johnson.p1@direct.aicaorthopedics.nextgenshare.com
• Direct secure messaging: susannah.johnsonaprnfnpc.p1@direct.southflaortho.nextgenshare.com
• Direct secure messaging: susannahjohnson@nsapl.allscriptsdirect.net

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.

• Joint Regeneration & Anti-Aging of

  • Multi-Specialty Clinic/Center
  • Peachtree City, GA
  • NPI 1073116554
  Medicare reassignment NPD
• Neuroscience and Spine Associates

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1922578566
  NPD
• Aica Orthopedics, P.C.

  • Multi-Specialty Clinic/Center
  • Jonesboro, GA
  • NPI 1679737001
  NPD (past)
• Joint Regeneration and Anti-Aging of Newnan

  • Pain Medicine Physician
  • Newnan, GA
  • NPI 1770127615
  NPD (past)
• South Florida Orthopaedics & Sports Medicine,PA

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
  • NPI 1639220700
  NPD (past)

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1942740360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2900",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349952900",
            "telephone_number": "772-288-2400",
            "fax_number": "772-419-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CORPORATE CENTER DR STE E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817215",
            "telephone_number": "678-691-6500",
            "fax_number": "678-691-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSANNAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9380811",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN242801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ARNP9380811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Charles Johnson, BCBA
• Kennedy Johnson
• Michiko Wanateshe Johnson
• Nicole Tamara Johnson, NP
• Shannon Johnson, MSW
• Tarran John Johnson III
• Toni McCalister Johnson, NP
• Jonathan Woolfson MD PC (Woolfson Eye Institute)
• Cecilia Abigail Jones-Asgill
• Alicia Jones, MS, SLP

• Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.