MARY ALICE JOHNSON NP-C NPI 1275619108

NPI Information

  • NPI: 1275619108
  • Provider Name: MARY ALICE JOHNSON, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 425 W 3RD AVE
    LOWER LEVEL
    ALBANY, GA
    ZIP 31701
  • Phone: (229) 312-7050

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NPI Details

Mary Alice Johnson, NP-C is a family nurse practitioner in Albany, GA. Mary Alice Johnson, NP-C NPI is 1275619108. 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:

425 W 3RD AVE
LOWER LEVEL
ALBANY, GA
ZIP 31701-941
Phone: (229) 312-7050
Fax: (229) 312-7055

The NPI 1275619108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 11/15/2011.

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
1164W00000XLicensed Practical NurseRN120782GEORGIANo
2363LF0000XNurse PractitionerFamilyRN120782GEORGIAYes

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: 11/21/2025

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