MALLORY HARRIS JOHNSON CRNA
NPI 1801353081
Nurse Anesthetist, Certified Registered in Brunswick, GA

Active since February 25, 2019Accepts Medicare Assignment
3100 KEMBLE AVE, BRUNSWICK, GA 31520(334) 279-1450(334) 279-1660 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2023, Feb 25, 2019 (2 updates tracked since 2019).

About Mallory Harris Johnson Crna NPPES

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

MALLORY HARRIS JOHNSON CRNA (NPI 1801353081) is an individual nurse anesthetist, certified registered in Brunswick, Georgia, licensed in Georgia (RN239579) and active in the NPI registry since February 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1801353081
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMALLORY HARRIS JOHNSONCredential: CRNA
Location Address3100 KEMBLE AVEBrunswick, GA 31520-4211
Mailing AddressPo Box 116111Atlanta, GA 30368-6111 · (334) 279-1450 · Fax (334) 279-1660
Fax(334) 279-1660
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 25, 2019
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1801353081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN239579
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3100 KEMBLE AVE, Brunswick, GA 31520

Other Names 1

Former Name (1)Mallory Brielle Harris

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

Mallory Harris Johnson Crna 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 ID4385985506
PECOS Enrollment IDI20190417000362

Medicare Billing Reassignments

13

Medicare enrollment records show Mallory Johnson reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3100 KEMBLE AVE
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
Urogynecology and Reconstructive Pelvic Surgery
1357 OCONEE CONNECTOR, ATTENTION CREDENTIALING BILLING DEPARTMENT
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
Urology
1366 WELLBROOK CIR NE STE B
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
Specialist
1557 JANMAR RD.
Snellville, GA 30078
  • Reassigned Medicare billing, Georgia enrollment
  • 75 clinicians in this Medicare group
Pain Medicine
892 LEGACY PARK DR
Lawrenceville, GA 30043
  • Reassigned Medicare billing, Georgia enrollment
  • 76 clinicians in this Medicare group
Anesthesiology
303 PARKWAY DR NE, PMB 404
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 49 clinicians in this Medicare group
Anesthesiology
6105 PEACHTREE DUNWOODY RD STE B110
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
Ambulatory Surgical
1140 HAMMOND DR NE, E5100
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Atlanta Anesthesia Consultants LLC
  • 37 clinicians in this Medicare group
Anesthesiology
5825 GLENRIDGE DRIVE, BUILDING 3, SUITE 101-123
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3968 FELTON HILL RD SW, 100
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 61 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 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
33 services32 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 16

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

Nurse Anesthetist, Certified Registered
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Anesthesiologist Assistant
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Nurse Anesthetist, Certified Registered
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Anesthesiology
3100 KEMBLE AVE
BRUNSWICK, GA 31520
Anesthesiology
3100 KEMBLE AVE
BRUNSWICK, GA 31520

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 Mallory Johnson's NPI number?

The NPI number for Mallory Johnson is 1801353081. It was assigned to this individual provider in the NPPES registry on February 25, 2019. The provider is also known as Mallory Brielle Harris.

Where is Mallory Johnson located?

Mallory Johnson practices at 3100 Kemble Ave, Brunswick, GA 31520. The listed phone number is (334) 279-1450.

What is Mallory Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mallory Johnson enrolled in Medicare?

Yes. Mallory 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 Mallory Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Johnson reassigns Medicare benefits to 13 organizations: Alta Anesthesia Associates Of Georgia, PC (Brunswick, GA), Advanced Gynecology PC (Watkinsville, GA), Advanced Urology Institute Of Georgia LLC (Conyers, GA), Advanced Urology Anesthesia, LLC (Snellville, GA), Sleep Ezzy (Lawrenceville, GA) and 8 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 Mallory Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Johnson accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Mallory 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 Mallory Johnson was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.