MRS. LAQUITA CHARLE JOHNSON NP
NPI 1194459099
Nurse Practitioner - Family in Bonaire, GA

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
101 SOUTHSHORE CT, BONAIRE, GA 31005(229) 712-8884 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Laquita Charle Johnson Np NPPES

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

MRS. LAQUITA CHARLE JOHNSON NP (NPI 1194459099) is an individual family provider in Bonaire, Georgia, licensed in Georgia (APRN249668) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194459099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LAQUITA CHARLE JOHNSONCredential: NP
Location Address101 SOUTHSHORE CTBonaire, GA 31005-3575
Mailing Address101 Southshore CtBonaire, GA 31005-3575 · (229) 712-8884
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 15, 2022
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1194459099 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 · APRN249668
101 SOUTHSHORE CT, Bonaire, GA 31005

Accepted Insurance

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

Mrs. Laquita Charle 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 ID5698294585
PECOS Enrollment IDI20250523000365
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 Reassignments

2

Medicare enrollment records show Laquita Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1825 HIGHWAY 34 E STE 1200
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
Family Medicine
1 TECHNOLOGY PKWY S
Norcross, GA 30092
  • Reassigned Medicare billing, Georgia enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31005 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Laquita Johnson's NPI number?

The NPI number for Laquita Johnson is 1194459099. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Laquita Johnson located?

Laquita Johnson practices at 101 Southshore Ct, Bonaire, GA 31005. The listed phone number is (229) 712-8884.

What is Laquita Johnson's specialty?

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

Is Laquita Johnson enrolled in Medicare?

Yes. Laquita 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 organizations bill Medicare for Laquita Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laquita Johnson reassigns Medicare benefits to 2 organizations: Wellstreet Of Georgia PC (Newnan, GA) and Radiant Family Practice LLC (Norcross, GA). Each 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 Laquita Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laquita Johnson accept?

Health plans from CareSource (Common Ground Healthcare) list Laquita Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laquita Johnson was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.