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MRS. CELECHIA AVADAWNE JOHNSON NPI 1558998435


NPI Information

NPI: 1558998435
Provider Name: MRS. CELECHIA AVADAWNE JOHNSON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3407 CHARTER CT
CONYERS, GA
ZIP 30013
Phone: (770) 483-6840
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MRS. Celechia Avadawne Johnson is a family nurse practitioner in Conyers, GA with 5 years of experience. MRS. Celechia Avadawne Johnson NPI is 1558998435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3407 CHARTER CT
CONYERS, GA
ZIP 30013-387
Phone: (770) 483-6840

The NPI 1558998435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN199114GEORGIANo
2363LP2300XNurse PractitionerPrimary CareF03200572GEORGIANo
3363LF0000XNurse PractitionerFamilyF03200572GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.