Mrs Laquita Charle Johnson, NP in Bonaire, GA

Mrs Laquita Charle Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Bonaire, Georgia. Her current practice location is 101 Southshore Ct, Bonaire, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 712-8884.

Mrs Laquita Charle Johnson is licensed to practice in Georgia (license number RN249668) 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 1194459099.

Contact Information

	Mrs Laquita Charle Johnson, NP
	101 Southshore Ct, Bonaire, GA 31005-3575
	(229) 712-8884
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Laquita Charle Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Southshore Ct, Bonaire, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194459099
Provider Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 5698294585
Enrollment ID: I20250523000365

Medical Identifiers

Medical identifiers for Mrs Laquita Charle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194459099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN249668 (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 Laquita Charle Johnson allows following entities to bill medicare on her behalf.

Entity Name	Radiant Family Practice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326366154 PECOS PAC ID: 5890977326 Enrollment ID: O20110304000501

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 Laquita Charle 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 Laquita Charle Johnson, NP 101 Southshore Ct, Bonaire, GA 31005-3575 Ph: (229) 712-8884	Mrs Laquita Charle Johnson, NP 101 Southshore Ct, Bonaire, GA 31005-3575 Ph: (229) 712-8884

Reviews and Comments

Nurse Practitioner Nurses in Bonaire, GA

Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005 Phone: 478-922-9944
Patience Chinenye Okolo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Ga Hwy 96, Bonaire, GA 31005 Phone: 478-988-5711
Stacey Favre Renner, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005 Phone: 478-352-7143 Fax: 478-352-7144
Shelby Giles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005 Phone: 478-352-7143
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013

Mrs Laquita Charle Johnson, NP - Medicare Nurse Practitioner in Bonaire, GA