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

Q: 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.

Q: What is Tracey Clark-johnson's specialty?

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

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: October 18, 2026.

On this page

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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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Tracey Clark-johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Curtis V. Cooper Primary Health Care Inc.

Same address

Federally Qualified Health Center (FQHC)

5354 REYNOLDS ST STE 420
Savannah, GA 31405

Reassigned Medicare billing, Georgia enrollment
75 clinicians in this Medicare group

NPI 1841683067 (912) 355-6990

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 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.

Which organization bills Medicare for Tracey Clark-johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Clark-johnson reassigns Medicare benefits to Curtis V. Cooper Primary Health Care Inc. (Savannah, 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 Tracey Clark-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 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.