Mrs Nicole Tamara Johnson, NP in Stockbridge, GA

Mrs Nicole Tamara Johnson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Stockbridge, Georgia. Her current practice location is 3580 Cameron Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 996-6446.

Mrs Nicole Tamara Johnson is licensed to practice in Georgia (license number RN179949) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710116769.

Contact Information

	Mrs Nicole Tamara Johnson, NP
	3580 Cameron Pkwy, Stockbridge, GA 30281-7816
	(770) 996-6446
	(770) 996-6279

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Tamara Johnson
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3580 Cameron Pkwy, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710116769
Provider Enumeration Date: 07/13/2009
Last Update Date: 07/13/2009

Medicare PECOS Information:

PECOS PAC ID: 9638316102
Enrollment ID: I20130501000323

Medical Identifiers

Medical identifiers for Mrs Nicole Tamara Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710116769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN179949 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nicole Tamara Johnson allows following entities to bill medicare on her behalf.

Entity Name	Southside Kidney Clinics, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659398600 PECOS PAC ID: 7810955408 Enrollment ID: O20041229000539

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Tamara Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Nicole Tamara Johnson, NP 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 Ph: (770) 996-6446	Mrs Nicole Tamara Johnson, NP 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 Ph: (770) 996-6446

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860

Mrs Nicole Tamara Johnson, NP - Medicare Nurse Practitioner in Stockbridge, GA