DR. ALICIA KAY JOHNSON PMHNP-BC NPI 1639535503

NPI Information

NPI: 1639535503
Provider Name: DR. ALICIA KAY JOHNSON, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3915 CASCADE RD SW
ATLANTA, GA
ZIP 30331
Phone: (678) 973-2370
Get Directions

DR. Alicia Kay Johnson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Atlanta, GA with 9 years of experience. DR. Alicia Kay Johnson, PMHNP-BC NPI is 1639535503. 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:

3915 CASCADE RD SW
ATLANTA, GA
ZIP 30331-512
Phone: (678) 973-2370
Fax: (470) 819-4995

The NPI 1639535503 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 1/7/2016 and was last updated on 3/18/2023.

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
1	363LF0000X	Nurse Practitioner	Family	216448	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	67513	IDAHO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	211280	MAINE	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	855120	NEVADA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	086000-23	NEW HAMPSHIRE	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	20210293NP-PP	OREGON	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN02540	RHODE ISLAND	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11723625-4405	UTAH	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	101.0135557TELE	VERMONT	No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	216448	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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