MS. CRYSTAL SHANTAE JOHNSON FNP-BC
NPI 1326443284
Nurse Practitioner - Family in Smyrna, GA

Active since November 04, 2014PECOS EnrolledAccepts Medicare Assignment
3903 S COBB DR SE, SUITE 225, SMYRNA, GA 30080(770) 434-1904(770) 434-1304 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Crystal Shantae Johnson Fnp-bc NPPES

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

MS. CRYSTAL SHANTAE JOHNSON FNP-BC (NPI 1326443284) is an individual family provider in Smyrna, Georgia, licensed in Georgia (F0914437) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1326443284
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CRYSTAL SHANTAE JOHNSONCredential: FNP-BC
Location Address3903 S COBB DR SE, SUITE 225Smyrna, GA 30080-8504
Mailing Address705 Waterbrook TerRoswell, GA 30076-2933 · (404) 281-7385
Fax(770) 434-1304
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 4, 2014
Last NPPES UpdateJune 9, 2016
NPI 1326443284 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 · F0914437
3903 S COBB DR SE, Smyrna, GA 30080

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

Ms. Crystal Shantae Johnson Fnp-bc 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 ID1153636980
PECOS Enrollment IDI20150821014417
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 30080 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 20

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

Specialist
3903 S COBB DR SE, STE 105
SMYRNA, GA 30080
Obstetrics & Gynecology
3903 S COBB DR SE, #230
SMYRNA, GA 30080
Hospitalist
3903 S COBB DR SE
SMYRNA, GA 30080
Social Worker (Clinical)
3903 S COBB DR SE, SUITE 235
SMYRNA, GA 30080
Nurse Practitioner (Family)
3903 S COBB DR SE
SMYRNA, GA 30080
Nurse Practitioner (Adult Health)
3903 S COBB DR SE, SUITE 110
SMYRNA, GA 30080
Physician Assistant (Surgical)
3903 S COBB DR SE
SMYRNA, GA 30080
Physician Assistant
3903 S COBB DR SE
SMYRNA, GA 30080

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 Crystal Johnson's NPI number?

The NPI number for Crystal Johnson is 1326443284. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Crystal Johnson located?

Crystal Johnson practices at 3903 S Cobb Dr SE Suite 225, Smyrna, GA 30080. The listed phone number is (770) 434-1904.

What is Crystal Johnson's specialty?

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

Is Crystal Johnson enrolled in Medicare?

Yes. Crystal 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.

When was this NPI record last updated?

The NPPES record for Crystal Johnson was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.