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ANDREA JOHNSON AGPCNP
NPI 1619726973
Nurse Practitioner - Primary Care in Atlanta, GA

Active since May 17, 2024PECOS Enrolled
3620 UTOY DR SW, ATLANTA, GA 30331(404) 423-7768 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Johnson Agpcnp NPPES

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

ANDREA JOHNSON AGPCNP (NPI 1619726973) is an individual primary care provider in Atlanta, Georgia, licensed in Georgia (RN186781) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619726973
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANDREA JOHNSONCredential: AGPCNP
Location Address3620 UTOY DR SWAtlanta, GA 30331-8617
Mailing Address3620 Utoy Dr SwAtlanta, GA 30331-8617 · (404) 423-7768
Phone(404) 423-7768
Sole ProprietorYes
Enumeration DateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1619726973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN186781
3620 UTOY DR SW, Atlanta, GA 30331
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Johnson Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Andrea Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Southeast Permanente Medical Group
11 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Georgia Mso LLC
11 mi
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group
NPI 1952196164 (212) 734-6621

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30331 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.

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 Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1619726973. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Andrea Johnson located?

Andrea Johnson practices at 3620 Utoy Dr SW, Atlanta, GA 30331. The listed phone number is (404) 423-7768.

What is Andrea Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Andrea Johnson enrolled in Medicare?

Yes. Andrea Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Johnson reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Georgia Mso LLC (Atlanta, GA). Each 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 Andrea Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Johnson was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.