GLADYS B JOHNSON
NPI 1407458102
Nurse Practitioner - Family in Stone Mountain, GA
About Gladys B Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLADYS B JOHNSON (NPI 1407458102) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN163718) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Gladys B 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Gladys Johnson's NPI number?
The NPI number for Gladys Johnson is 1407458102. It was assigned to this individual provider in the NPPES registry on November 9, 2020.
Where is Gladys Johnson located?
Gladys Johnson practices at 3962 Carlinswood Way, Stone Mountain, GA 30083. The listed phone number is (404) 376-2876.
What is Gladys Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gladys Johnson enrolled in Medicare?
Yes. Gladys 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 Gladys Johnson was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gladys B Johnson · NPI 1407458102
Family physician in Stone Mountain, Georgia. Individual provider, active in the CMS NPPES registry since November 9, 2020.
## Identity
- **NPI:** 1407458102 (Entity type: Individual)
- **Enumerated:** November 9, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN163718 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3962 CARLINSWOOD WAY, Stone Mountain, GA 30083-4776
- **Phone:** (404) 376-2876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407458102) · Data from the CMS NPPES public registry.