MRS. CARELLE JOHNSON
NPI 1831997121
Custodial Care Facility in Jesup, GA

Active since March 04, 2025
158 KIOWA DR S, JESUP, GA 31545(912) 424-3204 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carelle Johnson NPPES

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

MRS. CARELLE JOHNSON (NPI 1831997121) is an individual custodial care facility provider in Jesup, Georgia, licensed in Georgia (CN0036020198) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1831997121
Entity TypeIndividualFemale
Primary Taxonomy311Z00000X
Provider Legal NameMRS. CARELLE JOHNSON
Location Address158 KIOWA DR SJesup, GA 31545
Mailing Address158 Kiowa Dr SJesup, GA 31545 · (912) 424-3204
Sole ProprietorYes
Enumeration DateMarch 4, 2025
NPI 1831997121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in GA · CN0036020198
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
158 KIOWA DR S, Jesup, GA 31545

Other Names 1

Former Name (1)Carelle Overstreet Cna, Cma

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 Carelle Johnson's NPI number?

The NPI number for Carelle Johnson is 1831997121. It was assigned to this individual provider in the NPPES registry on March 4, 2025. The provider is also known as Carelle Overstreet Cna, Cma.

Where is Carelle Johnson located?

Carelle Johnson practices at 158 Kiowa Dr S, Jesup, GA 31545. The listed phone number is (912) 424-3204.

What is Carelle Johnson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Carelle Johnson was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.