DENETRA JOHNSON
NPI 1205207388
Nurse Practitioner - Family in Stockbridge, GA

Active since October 14, 2015PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
5095 MOUNT ZION PKWY, STOCKBRIDGE, GA 30281(401) 652-9787(401) 652-9787 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Jan 16, 2017 (2 updates tracked since 2017).

About Denetra Johnson NPPES

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

DENETRA JOHNSON (NPI 1205207388) is an individual family provider in Stockbridge, Georgia, licensed in Georgia (RN161105) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205207388
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENETRA JOHNSON
Location Address5095 MOUNT ZION PKWYStockbridge, GA 30281-7825
Mailing Address5095 Mount Zion PkwyStockbridge, GA 30281-7825
Fax(401) 652-9787
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 14, 2015
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1205207388 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
Licenses Licensed in GA · RN161105 Licensed in MS · R865978
5095 MOUNT ZION PKWY, Stockbridge, GA 30281

Other Identifiers 1

OtherRN161105GA · License

Accepted Insurance

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

Denetra Johnson 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 ID7113216987
PECOS Enrollment IDI20160518000279
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

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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Pharmacy
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Pharmacist
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Pharmacist
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Pharmacist
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Nurse Practitioner (Family)
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281
Registered Nurse (Ambulatory Care)
5095 MOUNT ZION PKWY
STOCKBRIDGE, GA 30281

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 Denetra Johnson's NPI number?

The NPI number for Denetra Johnson is 1205207388. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Denetra Johnson located?

Denetra Johnson practices at 5095 Mount Zion Pkwy, Stockbridge, GA 30281. The listed phone number is (401) 652-9787.

What is Denetra Johnson's specialty?

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

Is Denetra Johnson enrolled in Medicare?

Yes. Denetra 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.

What insurance does Denetra Johnson accept?

Health plans from Oscar Insurance Company list Denetra 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 Denetra Johnson was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.