Individual provider Active NPI

Stephanie E. Johnson, NP

  • Family Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1952798019
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN109410 Issued in GA
Practice address
4700 Battlefield Parkway
Suite 200
Ringgold, GA 30736
Phone
(706) 861-4990
Fax
(706) 891-9405
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 RN109410 GA Primary

Addresses

Primary practice location

4700 Battlefield Parkway
Suite 200
Ringgold, GA 30736

Mailing address

4700 Battlefield Parkway
Suite 200
Ringgold, GA 30736
Phone (706) 861-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20150713000164 GA Practitioner - Nurse Practitioner 7517279060 Reassigns benefits to 2 organizations
I20151028001688 TN Practitioner - Nurse Practitioner 7517279060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

4700 Battlefield Pkwy
Ringgold, GA 30736-5168

4710 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (423) 495-2525

4750 Battlefield Pkwy
Ringgold, GA 30736-5164
Phone (706) 841-8050

611 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

615 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Oct 5, 2015 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Oct 5, 2015 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Weaver Health Services, LLC Family CurrentSince Sep 13, 2021 Accepting new patients

Locations

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

7566 Nashville St
Ringgold, GA 30736
Phone (706) 935-3600

4700 Battlefield Pkwy
Ste 200
Ringgold, GA 30736
Phone (706) 861-4990

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • Direct secure messaging: stephaniejohnson@tnmhpf.allscriptsdirect.net

Organizations & group practices 4

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.

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1952798019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BATTLEFIELD PARKWAY",
            "address_2": "SUITE 200",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-861-4990",
            "fax_number": "706-891-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BATTLEFIELD PARKWAY",
            "address_2": "SUITE 200",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-861-4990",
            "fax_number": "706-891-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "E.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN109410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.