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JESSICA JOHNSON AGPCNP
NPI 1225846173
Nurse Practitioner in La Fayette, GA

Active since December 24, 2024PECOS EnrolledAccepts Medicare Assignment
615 E VILLANOW ST, LA FAYETTE, GA 30728(706) 638-1606 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2025, Dec 24, 2024 (2 updates tracked since 2024).

About Jessica Johnson Agpcnp NPPES

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

JESSICA JOHNSON AGPCNP (NPI 1225846173) is an individual nurse practitioner in La Fayette, Georgia, licensed in Georgia (RN294745) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225846173
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA JOHNSONCredential: AGPCNP
Location Address615 E VILLANOW STLa Fayette, GA 30728-2618
Mailing Address615 E Villanow StLa Fayette, GA 30728-2618 · (706) 638-1606
Phone(706) 638-1606
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 24, 2024
Last NPPES UpdateJune 14, 20252 updates tracked since enumeration
NPPES CertifiedJune 14, 2025
✔ NPI 1225846173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · RN294745✔ Licensed in TN · 37238
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
615 E VILLANOW ST, La Fayette, GA 30728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Jessica Johnson Agpcnp 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 ID6901314269
PECOS Enrollment IDI20250806002746
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.

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30728 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.

Other Providers at the Same Location NPPES 3

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

LAFAYETTE AFTER HOURS, LLC
Family Medicine
615 E VILLANOW ST
LA FAYETTE, GA 30728
Walker County (423) 495-4839
MEMORIAL HEALTH PARTNERS FOUNDATION INC
Clinic/Center (Rural Health)
615 E VILLANOW ST
LA FAYETTE, GA 30728
Walker County (706) 638-1606
DR. ALOYSIUS T MANGAN MD
Family Medicine
615 E VILLANOW ST
LA FAYETTE, GA 30728
Walker County (706) 638-6018

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 Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1225846173. It was assigned to this individual provider in the NPPES registry on December 24, 2024.

Where is Jessica Johnson located?

Jessica Johnson practices at 615 E Villanow St, La Fayette, GA 30728. The listed phone number is (706) 638-1606.

What is Jessica Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Johnson enrolled in Medicare?

Yes. Jessica 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 Jessica Johnson accept?

Health plans from BlueCross BlueShield of Tennessee list Jessica 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.

Is Jessica Johnson affiliated with any hospitals?

According to CMS data, Jessica Johnson is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.