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MIATTA LASSANAH JOHNSON PMHNP
NPI 1184449878
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
1557 BUFORD DRIVE, P.O.BOX 492994, LAWRENCEVILLE, GA 30043(470) 305-3899 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miatta Lassanah Johnson Pmhnp NPPES

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

MIATTA LASSANAH JOHNSON PMHNP (NPI 1184449878) is an individual psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (RN259964) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184449878
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIATTA LASSANAH JOHNSONCredential: PMHNP
Location Address1557 BUFORD DRIVE, P.O.BOX 492994Lawrenceville, GA 30043
Mailing Address1557 Buford Drive, P.o.box 492994Lawrenceville, GA 30043
Phone(470) 305-3899
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1184449878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN259964
1557 BUFORD DRIVE, Lawrenceville, GA 30043
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miatta Lassanah Johnson Pmhnp 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 ID6608364781
PECOS Enrollment IDI20251021003051
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.

Medicare Billing Reassignment

Medicare enrollment records show Miatta Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Psychology Center, LLC
19 mi
Psychiatry
2900 CHAMBLEE TUCKER RD BLDG 16
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1063704542 (770) 939-1288

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 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.

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 Miatta Johnson's NPI number?

The NPI number for Miatta Johnson is 1184449878. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Miatta Johnson located?

Miatta Johnson practices at 1557 Buford Drive P.O.Box 492994, Lawrenceville, GA 30043. The listed phone number is (470) 305-3899.

What is Miatta Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Miatta Johnson enrolled in Medicare?

Yes. Miatta Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miatta Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miatta Johnson reassigns Medicare benefits to United Psychology Center, LLC (Atlanta, GA). 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 Miatta 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 Miatta Johnson was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.