KAY YETUNDE JOHNSON NP
NPI 1790167856
Nurse Practitioner - Family in Smyrna, GA

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
3001 LUSK DR, SMYRNA, GA 30080(678) 309-9977 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kay Yetunde Johnson Np NPPES

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

KAY YETUNDE JOHNSON NP (NPI 1790167856) is an individual family provider in Smyrna, Georgia, licensed in Georgia (RN203788) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790167856
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAY YETUNDE JOHNSONCredential: NP
Location Address3001 LUSK DRSmyrna, GA 30080
Mailing Address4633 Egret CtAustell, GA 30106-2781 · (678) 549-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateOctober 3, 2018
✔ NPI 1790167856 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 · RN203788
3001 LUSK DR, Smyrna, GA 30080

Other Names 1

Former Name (1)Yisa Adegunle Olurinde Np

Accepted Insurance

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

Kay Yetunde Johnson Np 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 ID3779892419
PECOS Enrollment IDI20151021000727
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

10

Medicare enrollment records show Kay Johnson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
6011 HENDRIX LN
Mableton, GA 30126
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Primary Care
4171 MARIETTA ST
Powder Springs, GA 30127
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Health and Wellness Coach
8317 OFFICE PARK DR
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Family
6575 SPRING ST
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Internal Medicine
1626 JEURGENS CT
Norcross, GA 30093
  • Reassigned Medicare billing, Georgia enrollment
  • 78 clinicians in this Medicare group
Emergency Medicine
565 COAL VALLEY RD
Jefferson Hills, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 153 clinicians in this Medicare group
Primary Care
205 N MICHIGAN AVE STE 810
Chicago, IL 60601
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, Georgia enrollment
  • 25 clinicians in this Medicare group
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
Specialist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group

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 8

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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
11,639 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
539 services86 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
518 services81 patients
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272
This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.
266 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services42 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%85 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Kay Johnson's NPI number?

The NPI number for Kay Johnson is 1790167856. It was assigned to this individual provider in the NPPES registry on June 25, 2015. The provider is also known as Yisa Adegunle Olurinde Np.

Where is Kay Johnson located?

Kay Johnson practices at 3001 Lusk Dr, Smyrna, GA 30080. The listed phone number is (678) 309-9977.

What is Kay Johnson's specialty?

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

Is Kay Johnson enrolled in Medicare?

Yes. Kay Johnson 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 organizations bill Medicare for Kay Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kay Johnson reassigns Medicare benefits to 10 organizations: His Hands Family Practice Clinic LLC (Mableton, GA), Kays Urgent Care Clinic LLC (Powder Springs, GA), A New You (Douglasville, GA), Advanced Pro Wound Care LLC (Douglasville, GA), Pruitthealth Physicians Services, LLC (Norcross, GA) and 5 more organizations, listed in the Medicare section above. 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 Kay Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kay Johnson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kay 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 Kay Johnson was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.