MS. REBECCA A. JOHNSON FNP NPI 1285636407

NPI Information

  • NPI: 1285636407
  • Provider Name: MS. REBECCA A. JOHNSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 836 CONSTELLATION DR
    DECATUR, GA
    ZIP 30033
  • Phone: (434) 258-6517

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NPI Details

MS. Rebecca A. Johnson, FNP is a family nurse practitioner in Decatur, GA. MS. Rebecca A. Johnson, FNP NPI is 1285636407. 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:

836 CONSTELLATION DR
DECATUR, GA
ZIP 30033-811
Phone: (434) 258-6517

The enumeration date for this NPI number is 6/1/2005 and was last updated on 9/21/2022.

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
1363LF0000XNurse PractitionerFamily0024095207VIRGINIANo
2363LF0000XNurse PractitionerFamilySP01065PENNSYLVANIANo
3363LF0000XNurse PractitionerFamily291053GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010217822OTHERVA PREMIER PROVIDER NUMBE
2203639329004OTHERTRICARE PROVIDER NUMBER
3010217822MEDICAIDVIRGINIA

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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