MRS. LESLIE J. JOHNSON FNP-C
NPI 1962877506
Nurse Practitioner - Family in Newnan, GA
About Mrs. Leslie J. Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LESLIE J. JOHNSON FNP-C (NPI 1962877506) is an individual family provider in Newnan, Georgia, licensed in Georgia (RN203517) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Leslie J. Johnson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Leslie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Leslie Johnson's NPI number?
The NPI number for Leslie Johnson is 1962877506. It was assigned to this individual provider in the NPPES registry on December 8, 2015. The provider is also known as Leslie Jerkins.
Where is Leslie Johnson located?
Leslie Johnson practices at 2081 Newnan Crossing Blvd, Newnan, GA 30265. The listed phone number is (470) 592-5505.
What is Leslie Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leslie Johnson enrolled in Medicare?
Yes. Leslie Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Leslie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Johnson reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). The 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 Leslie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leslie Johnson was last updated on April 11, 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.
# Mrs. Leslie J. Johnson, FNP-C · NPI 1962877506
Family physician in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since December 8, 2015.
## Identity
- **NPI:** 1962877506 (Entity type: Individual)
- **Enumerated:** December 8, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN203517 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2081 NEWNAN CROSSING BLVD, Newnan, GA 30265
- **Phone:** (470) 592-5505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2023
- **Other identifiers:** Medicaid 1083738645 (NC); Other 1265556823 (NC); Other 02BAU (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1962877506) · Data from the CMS NPPES public registry.