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TRACEY AMANDA CLARK-JOHNSON
NPI 1770218356
Nurse Practitioner - Family in Savannah, GA

Active since July 19, 2022PECOS Enrolled
5354 REYNOLDS ST STE 411, SAVANNAH, GA 31405(912) 355-2800(912) 355-9444 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Amanda Clark-johnson NPPES

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

TRACEY AMANDA CLARK-JOHNSON (NPI 1770218356) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN171140) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770218356
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACEY AMANDA CLARK-JOHNSON
Location Address5354 REYNOLDS ST STE 411Savannah, GA 31405-6011
Mailing Address106 E Broad StSavannah, GA 31401-2917 · (912) 527-1000 · Fax (912) 527-1155
Phone(912) 355-2800
Fax(912) 355-9444
Sole ProprietorNo
Enumeration DateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1770218356 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 · RN171140
5354 REYNOLDS ST STE 411, Savannah, GA 31405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Amanda Clark-johnson 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 31405 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 Tracey Clark-johnson's NPI number?

The NPI number for Tracey Clark-johnson is 1770218356. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Tracey Clark-johnson located?

Tracey Clark-johnson practices at 5354 Reynolds St Ste 411, Savannah, GA 31405. The listed phone number is (912) 355-2800.

What is Tracey Clark-johnson's specialty?

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

Is Tracey Clark-johnson enrolled in Medicare?

Yes. Tracey Clark-johnson is registered in the Medicare PECOS enrollment system.

What insurance does Tracey Clark-johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tracey Clark-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 Tracey Clark-johnson was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.