KELLEY L JOHNSON FNP-BC
NPI 1538105267
Nurse Practitioner - Family in Braselton, GA
About Kelley L Johnson Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY L JOHNSON FNP-BC (NPI 1538105267) is an individual family provider in Braselton, Georgia, licensed in Georgia (RN253424) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley L Johnson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30517 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRASELTON, GA 30517
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 Kelley Johnson's NPI number?
The NPI number for Kelley Johnson is 1538105267. It was assigned to this individual provider in the NPPES registry on June 21, 2006. The provider is also known as Kelley L Russell Crnp.
Where is Kelley Johnson located?
Kelley Johnson practices at 1515 River Pl Ste 100, Braselton, GA 30517. The listed phone number is (770) 848-6195.
What is Kelley Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelley Johnson enrolled in Medicare?
Yes. Kelley Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelley Johnson was last updated on October 7, 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.
# Kelley L Johnson, FNP-BC · NPI 1538105267
Family physician in Braselton, Georgia. Individual provider, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1538105267 (Entity type: Individual)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN253424 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 RIVER PL STE 100, Braselton, GA 30517-5610
- **Phone:** (770) 848-6195
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1538105267) · Data from the CMS NPPES public registry.