NICOLE HEATHER JOHNSON
NPI 1356819569
Nurse Practitioner - Acute Care in Marietta, GA

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060(470) 956-8276(770) 795-9161 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Heather Johnson NPPES

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

NICOLE HEATHER JOHNSON (NPI 1356819569) is an individual acute care provider in Marietta, Georgia, licensed in Georgia (188988) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Wellstar Douglas Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356819569
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE HEATHER JOHNSON
Location Address55 WHITCHER ST NE STE 160Marietta, GA 30060-1160
Mailing Address4305 Oklahoma Way NwKennesaw, GA 30152-5434 · (818) 641-8850
Fax(770) 795-9161
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 6, 2018
NPI 1356819569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · 188988
55 WHITCHER ST NE STE 160, Marietta, GA 30060

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

Nicole Heather 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 ID2668717174
PECOS Enrollment IDI20190102001406
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
114 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Critical Care Medicine)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Nurse Practitioner (Adult Health)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 160
MARIETTA, GA 30060

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1356819569. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Nicole Johnson located?

Nicole Johnson practices at 55 Whitcher St NE Ste 160, Marietta, GA 30060. The listed phone number is (470) 956-8276.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole 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 Nicole Johnson accept?

Health plans from Alliant Health Plans, Inc. list Nicole 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 Nicole Johnson affiliated with any hospitals?

According to CMS data, Nicole Johnson is affiliated with Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.