MRS. CHANEL ANTIONETTE JOHNSON NP
NPI 1902792179
Nurse Practitioner - Family in Alpharetta, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since June 16, 2025PECOS Enrolled

3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022(770) 442-1911(770) 442-0306 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mrs. Chanel Antionette Johnson Np NPPES

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

MRS. CHANEL ANTIONETTE JOHNSON NP (NPI 1902792179) is an individual family provider in Alpharetta, Georgia, licensed in Georgia (RN337845) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902792179

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHANEL ANTIONETTE JOHNSONCredential: NP

Location Address3905 BROOKSIDE PKWY STE 300Alpharetta, GA 30022-4458

Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102 · (770) 442-1911

Phone(770) 442-1911

Fax(770) 442-0306

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 16, 2025

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1902792179 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 · RN337845

3905 BROOKSIDE PKWY STE 300, Alpharetta, GA 30022

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chanel Antionette Johnson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628585684

PECOS Enrollment IDI20250725001915

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30022 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.

Other Providers at the Same Location NPPES 18

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

DR. SATISHKUMAR MUDDURANGANATH GANJAM MD

Family Medicine