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NETTIE JOHNSON-MCALLISTER FNP-C
NPI 1629640040
Nurse Practitioner - Family in Tifton, GA

Active since July 14, 2021PECOS EnrolledAccepts Medicare Assignment
202 CENTRAL AVE N, TIFTON, GA 31794(229) 391-6080 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nettie Johnson-mcallister Fnp-c NPPES

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

NETTIE JOHNSON-MCALLISTER FNP-C (NPI 1629640040) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN118108) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629640040
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNETTIE JOHNSON-MCALLISTERCredential: FNP-C
Location Address202 CENTRAL AVE NTifton, GA 31794-4367
Mailing Address1216 Broach AveAlbany, GA 31705-6158 · (229) 854-2176
Phone(229) 391-6080
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1629640040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN118108
202 CENTRAL AVE N, Tifton, GA 31794
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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 and accepts Medicare assignment

Nettie Johnson-mcallister Fnp-c 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 ID1759768989
PECOS Enrollment IDI20220510000107
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 Nettie Johnson-mcallister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoebe Women's Services
39 mi
Obstetrics & Gynecology
901 N MADISON ST
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Putney Memorial Hospital, Inc.
  • 264 clinicians in this Medicare group
NPI 1639338320 (229) 312-2557

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
106 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Nettie Johnson-mcallister's NPI number?

The NPI number for Nettie Johnson-mcallister is 1629640040. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Nettie Johnson-mcallister located?

Nettie Johnson-mcallister practices at 202 Central Ave N, Tifton, GA 31794. The listed phone number is (229) 391-6080.

What is Nettie Johnson-mcallister's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nettie Johnson-mcallister enrolled in Medicare?

Yes. Nettie Johnson-mcallister 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 Nettie Johnson-mcallister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nettie Johnson-mcallister reassigns Medicare benefits to Phoebe Women's Services (Albany, 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 Nettie Johnson-mcallister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nettie Johnson-mcallister affiliated with any hospitals?

According to CMS data, Nettie Johnson-mcallister is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nettie Johnson-mcallister was last updated on July 14, 2021. 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.