JAN DELROY JOHNSON NP
NPI 1023518537
Nurse Practitioner - Family in Conyers, GA

Q: What is Jan Johnson's NPI number?

The NPI number for Jan Johnson is 1023518537. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Q: What is Jan Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jan Johnson was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 20, 2018PECOS EnrolledAccepts Medicare Assignment

1412 MILSTEAD AVE NE, CONYERS, GA 30012(770) 918-3754 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, Aug 8, 2022, Feb 21, 2018 (3 updates tracked since 2018).

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About Jan Delroy Johnson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN DELROY JOHNSON NP (NPI 1023518537) is an individual family provider in Conyers, Georgia, licensed in Georgia (APRN-NP258005) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Emory University School Of Medicine (2017).

NPPES Registry Identity

NPI1023518537

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAN DELROY JOHNSONCredential: NP

Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730

Phone(770) 918-3754

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2017

Enumeration DateFebruary 20, 2018

Last NPPES UpdateJune 11, 20263 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1023518537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP258005

1412 MILSTEAD AVE NE, Conyers, GA 30012

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Secondary Practice Locations 2

Location 13088 Washington RdEast Point, GA 30344-4566 · Phone (470) 444-3135 · Fax (404) 777-9336

Location 22056 Donald Lee Hollowell Pkwy NW Ste 1Atlanta, GA 30318-4764 · Phone (470) 890-3910 · Fax (877) 445-5270

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jan Delroy Johnson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628328234

PECOS Enrollment IDI20180831001238

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALKER LAKE PHYSICIAN SERVICES, PC

Hospitalist