DERQUIS JOHNSON FNP-C
NPI 1194447649
Nurse Practitioner - Family in Lilburn, GA

Active since September 12, 2022PECOS EnrolledAccepts Medicare Assignment
4120 FIVE FORKS TRICKUM RD SW STE 104, LILBURN, GA 30047(770) 921-6900 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2025, Jul 24, 2023, Sep 12, 2022 (3 updates tracked since 2022).

About Derquis Johnson Fnp-c NPPES

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

DERQUIS JOHNSON FNP-C (NPI 1194447649) is an individual family provider in Lilburn, Georgia, licensed in Georgia (250545) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194447649
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDERQUIS JOHNSONCredential: FNP-C
Location Address4120 FIVE FORKS TRICKUM RD SW STE 104Lilburn, GA 30047-8975
Mailing Address4120 Five Forks Trickum Rd Sw Ste 104Lilburn, GA 30047-8975
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2022
Last NPPES UpdateSeptember 13, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2025
NPI 1194447649 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 · 250545
4120 FIVE FORKS TRICKUM RD SW STE 104, Lilburn, GA 30047

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

Derquis Johnson Fnp-c 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 ID8224490123
PECOS Enrollment IDI20230809001699
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 24

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.
123 services106 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services95 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
107 services89 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
96 services84 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
84 services75 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
81 services71 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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.

Other Providers at the Same Location NPPES

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

Family Medicine
4120 FIVE FORKS TRICKUM RD SW STE 104
LILBURN, GA 30047

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 Derquis Johnson's NPI number?

The NPI number for Derquis Johnson is 1194447649. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Derquis Johnson located?

Derquis Johnson practices at 4120 Five Forks Trickum Rd SW Ste 104, Lilburn, GA 30047. The listed phone number is (770) 921-6900.

What is Derquis Johnson's specialty?

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

Is Derquis Johnson enrolled in Medicare?

Yes. Derquis 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.

Is Derquis Johnson affiliated with any hospitals?

According to CMS data, Derquis Johnson is affiliated with Emory University Hospital, Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Derquis Johnson was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.