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MRS. NICOLE TAMARA JOHNSON NP
NPI 1710116769
Nurse Practitioner - Adult Health in Stockbridge, GA

Active since July 13, 2009PECOS Enrolled
3580 CAMERON PKWY, STOCKBRIDGE, GA 30281(770) 996-6446(770) 996-6279 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Tamara Johnson Np NPPES

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

MRS. NICOLE TAMARA JOHNSON NP (NPI 1710116769) is an individual adult health provider in Stockbridge, Georgia, licensed in Georgia (RN179949) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710116769
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. NICOLE TAMARA JOHNSONCredential: NP
Location Address3580 CAMERON PKWYStockbridge, GA 30281-7816
Mailing Address3580 Cameron PkwyStockbridge, GA 30281-7816 · (770) 996-6446 · Fax (770) 996-6279
Phone(770) 996-6446
Fax(770) 996-6279
Sole ProprietorNo
Enumeration DateJuly 13, 2009
✔ NPI 1710116769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN179949
3580 CAMERON PKWY, Stockbridge, GA 30281
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Tamara Johnson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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.

Other Providers at the Same Location NPPES 3

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

FAHAD KHAN MD
Internal Medicine (Nephrology)
3580 CAMERON PKWY
STOCKBRIDGE, GA 30281
Henry County (770) 996-6446
MRS. OLGA V. JANTZER LCSW
Social Worker (Clinical)
3580 CAMERON PKWY
STOCKBRIDGE, GA 30281
Henry County (678) 565-6228
LAWRENCE EARL BRYANT JR. APRN
Nurse Practitioner (Adult Health)
3580 CAMERON PKWY
STOCKBRIDGE, GA 30281
Henry County (770) 996-6446

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1710116769. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Nicole Johnson located?

Nicole Johnson practices at 3580 Cameron Pkwy, Stockbridge, GA 30281. The listed phone number is (770) 996-6446.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.