Active NPI
Darlene Machele Johnson, RN
- Medical-Surgical Registered Nurse
- Sandersville, GA
National Provider Identifier
1972703593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN164687
- Practice address
- 610 Sparta Rd
Sandersville, GA 31082-1860 - Phone
- (478) 240-2303
- Fax
- (478) 240-2388
- NPI assigned
- Jul 21, 2007
- Last updated
- Jul 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN164687 | GA | Primary |
Addresses
Primary practice location
610 Sparta Rd
Sandersville, GA 31082-1860
Mailing address
214 Westlake Dr
Sandersville, GA 31082-9423
Phone (478) 240-9455
Other names 1
- Ms. Darlene Machele Mathis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN164687 | GA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184976000000",
"number": "1972703593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WESTLAKE DR",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310829423",
"telephone_number": "478-240-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821860",
"telephone_number": "478-240-2303",
"fax_number": "478-240-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DARLENE",
"middle_name": "MACHELE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-21",
"last_updated": "2007-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "RN164687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARLENE",
"last_name": "MATHIS",
"middle_name": "MACHELE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sandersville, GA
- Hospital Authority of Washington County (Childrens Healthcare Center of Sandersville)
- Bethaney Elizabeth Hughes
- Leilani Hunt
- Jenkins County Hospital LLC (Optim Medical Center - Jenkins)
- Ambreia Johnson
- Heather Johnson, LPTA
- Julius Jones, LMSW
- Lauren Wells Kent, SLP
- Kyla Megan Kitchens, FNP-BC
- Layne Harvey Kitchens, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.