KOURTNIE JOHNSON LCSWA
NPI 1114633757
Social Worker in Nashville, NC
About Kourtnie Johnson Lcswa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOURTNIE JOHNSON LCSWA (NPI 1114633757) is an individual social worker in Nashville, North Carolina, licensed in North Carolina (P018591) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kourtnie Johnson Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kourtnie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Randolph, MA 02368
- Reassigned Medicare billing, Massachusetts enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kourtnie Johnson's NPI number?
The NPI number for Kourtnie Johnson is 1114633757. It was assigned to this individual provider in the NPPES registry on January 26, 2023.
Where is Kourtnie Johnson located?
Kourtnie Johnson practices at 4870 Newport Ct, Nashville, NC 27856. The listed phone number is (617) 528-8966.
What is Kourtnie Johnson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Kourtnie Johnson enrolled in Medicare?
Yes. Kourtnie Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kourtnie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kourtnie Johnson reassigns Medicare benefits to Paradise Healing LLC (Randolph, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourtnie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kourtnie Johnson was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kourtnie Johnson, LCSWA · NPI 1114633757
Social Worker provider in Nashville, North Carolina. Individual provider, active in the CMS NPPES registry since January 26, 2023.
## Identity
- **NPI:** 1114633757 (Entity type: Individual)
- **Enumerated:** January 26, 2023
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** P018591 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4870 NEWPORT CT, Nashville, NC 27856-3303
- **Phone:** (617) 528-8966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Paradise Healing LLC (NPI 1356025670, Randolph, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114633757) · Data from the CMS NPPES public registry.