Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTANEY RAE JOHNSON NP-C
NPI 1891348256
Nurse Practitioner - Family in Lawrenceville, GA

Active since July 24, 2019PECOS Enrolled
55.04/100
CMS Quality Rating
289 S CULVER ST, LAWRENCEVILLE, GA 30046(305) 466-9988(305) 466-9989 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Sep 3, 2019, Jul 24, 2019 (3 updates tracked since 2019).

About Courtaney Rae Johnson Np-c NPPES

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

COURTANEY RAE JOHNSON NP-C (NPI 1891348256) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN164335) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Augusta, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891348256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTANEY RAE JOHNSONCredential: NP-C
Location Address289 S CULVER STLawrenceville, GA 30046
Mailing Address3800 S Ocean Dr Ste 209Hollywood, FL 33019-2915 · (305) 466-9988 · Fax (305) 466-9989
Fax(305) 466-9989
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 24, 2019
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1891348256 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
Licenses Licensed in GA · RN164335 Licensed in SC · 23050
289 S CULVER ST, Lawrenceville, GA 30046

Secondary Practice Location 1

Location 11200 Talisman DrNorth Augusta, SC 29841-4032 · Phone (800) 226-8874

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtaney Rae Johnson Np-c 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 ID5193158954
PECOS Enrollment IDI20191213002399
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.

Areas of Expertise CMS Part B claims 14

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
848 services158 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
309 services31 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
244 services54 patients
Removal of bone, 20.0 sq cm or less 11044
The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.
235 services28 patients
Removal of bone, each additional 20.0 sq cm or less 11047
This procedure involves the surgical removal of a specified amount of bone, typically due to disease or injury. Each additional 20.0 square cm or less refers to the size of the bone area being removed. It's a precise operation performed by skilled surgeons.
217 services22 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
211 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

55.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost50.14

Other Providers at the Same Location NPPES 15

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

Behavior Analyst
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Lactation Consultant, Non-RN
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Counselor (Professional)
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Health and Wellness Coach
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Health and Wellness Coach
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Behavior Analyst
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Health and Wellness Coach
289 S CULVER ST
LAWRENCEVILLE, GA 30046
Behavior Analyst
289 S CULVER ST
LAWRENCEVILLE, GA 30046

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 Courtaney Johnson's NPI number?

The NPI number for Courtaney Johnson is 1891348256. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Courtaney Johnson located?

Courtaney Johnson practices at 289 S Culver St, Lawrenceville, GA 30046. The listed phone number is (305) 466-9988.

What is Courtaney Johnson's specialty?

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

Is Courtaney Johnson enrolled in Medicare?

Yes. Courtaney 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.

When was this NPI record last updated?

The NPPES record for Courtaney Johnson was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.