RICKY BRANDON JOHNSON FNP-C
NPI 1841860541
Nurse Practitioner in Statesboro, GA

Q: What is Ricky Johnson's NPI number?

The NPI number for Ricky Johnson is 1841860541. It was assigned to this individual provider in the NPPES registry on June 26, 2021.

Q: What is Ricky Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricky Johnson was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 26, 2021PECOS Enrolled

1570 BRAMPTON AVE, STATESBORO, GA 30458(912) 764-9196(478) 237-9138 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 16, 2021, Jun 26, 2021 (2 updates tracked since 2021).

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About Ricky Brandon Johnson Fnp-c NPPES

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

RICKY BRANDON JOHNSON FNP-C (NPI 1841860541) is an individual nurse practitioner in Statesboro, Georgia, licensed in Georgia (APRN-NP239170) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841860541

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameRICKY BRANDON JOHNSONCredential: FNP-C

Location Address1570 BRAMPTON AVEStatesboro, GA 30458-0855

Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 419-1630

Phone(912) 764-9196

Fax(478) 237-9138

Sole ProprietorNo

Enumeration DateJune 26, 2021

Last NPPES UpdateOctober 19, 20252 updates tracked since enumeration

NPPES CertifiedOctober 19, 2025

✔ NPI 1841860541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP239170

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedEmergency MedicineTaxonomy 207P00000X · License APRN-NP239170 (GA)

1570 BRAMPTON AVE, Statesboro, GA 30458

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Secondary Practice Locations 2

Location 1117 Kite RdSwainsboro, GA 30401-3231 · Phone (478) 289-1341

Location 2215 N Coleman StSwainsboro, GA 30401-3530 · Phone (478) 237-2638 · Fax (478) 237-9138

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ricky Brandon Johnson Fnp-c 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 Reassignments

Medicare enrollment records show Ricky Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Georgia Healthcare Center Inc

0.1 mi

Federally Qualified Health Center (FQHC)

1570 BRAMPTON AVENUE
Statesboro, GA 30458

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

NPI 1225364524 (478) 764-9196

Emanuel County Hospital Authority

36 mi

Surgery

120A VICTORY DR
Swainsboro, GA 30401

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

NPI 1003221243 (478) 237-3291

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 30458 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.

Other Providers at the Same Location NPPES 5

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

SREEVALLI DEGA MD

Family Medicine