CLAUDETTE ANGELLA JOHNSON
NPI 1306235312
Nurse Practitioner - Family in Atlanta, GA

Q: What is Claudette Johnson's NPI number?

The NPI number for Claudette Johnson is 1306235312. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Q: What is Claudette Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Claudette Johnson was last updated on January 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2015PECOS Enrolled

2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345(404) 692-6907 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2017, Mar 3, 2016, Feb 9, 2016 (3 updates tracked since 2016).

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About Claudette Angella Johnson NPPES

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

CLAUDETTE ANGELLA JOHNSON (NPI 1306235312) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN180553) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306235312

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCLAUDETTE ANGELLA JOHNSON

Location Address2296 HENDERSON MILL RD NE STE 116Atlanta, GA 30345-2739

Mailing Address814 Arbor WayLoganville, GA 30052-8028 · (678) 615-2677

Phone(404) 692-6907

Sole ProprietorNo

Enumeration DateJanuary 13, 2015

Last NPPES UpdateJanuary 24, 20173 updates tracked since enumeration

✔ NPI 1306235312 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 · RN180553

2296 HENDERSON MILL RD NE STE 116, Atlanta, GA 30345

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudette Angella Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 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 10

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

GLORY REALM HEALTHCARE CONSULTANTS LLC

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