JADE JOHNSON
NPI 1548042336
Counselor in Woodstock, GA

Active since October 17, 2023PECOS EnrolledAccepts Medicare Assignment
3217 S CHEROKEE LN STE 730, WOODSTOCK, GA 30188(678) 694-1573 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jade Johnson NPPES

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

JADE JOHNSON (NPI 1548042336) is an individual counselor in Woodstock, Georgia and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548042336
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJADE JOHNSON
Location Address3217 S CHEROKEE LN STE 730Woodstock, GA 30188-7053
Mailing Address1889 Hamby Place Dr NwAcworth, GA 30102-6461 · (678) 595-3718
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1548042336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3217 S CHEROKEE LN STE 730, Woodstock, GA 30188

Secondary Practice Locations 3

Location 13235 S Cherokee Ln Bldg 1200Woodstock, GA 30188-4461 · Phone (678) 694-1573
Location 24343 Shallowford Rd Ste 410Marietta, GA 30062-5067 · Phone (678) 694-1573
Location 33400 Old Milton Pkwy Fl 395Alpharetta, GA 30005-3707 · Phone (678) 694-1573

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jade 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 ID3779051578
PECOS Enrollment IDI20260511001624
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.

Medicare Billing Reassignment

Medicare enrollment records show Jade Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
3217 S CHEROKEE LN STE 730
WOODSTOCK, GA 30188
Social Worker (Clinical)
3217 S CHEROKEE LN STE 730
WOODSTOCK, GA 30188

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 Jade Johnson's NPI number?

The NPI number for Jade Johnson is 1548042336. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Jade Johnson located?

Jade Johnson practices at 3217 S Cherokee Ln Ste 730, Woodstock, GA 30188. The listed phone number is (678) 694-1573.

What is Jade Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jade Johnson enrolled in Medicare?

Yes. Jade 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.

Which organization bills Medicare for Jade Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jade Johnson reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jade Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jade Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jade 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.

When was this NPI record last updated?

The NPPES record for Jade Johnson was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.