MS. CRYSTAL SHANTAE JOHNSON FNP-BC NPI 1326443284

NPI Information

  • NPI: 1326443284
  • Provider Name: MS. CRYSTAL SHANTAE JOHNSON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3903 S COBB DR SE
    SUITE 225
    SMYRNA, GA
    ZIP 30080
  • Phone: (770) 434-1904

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NPI Details

MS. Crystal Shantae Johnson, FNP-BC is a family nurse practitioner in Smyrna, GA. MS. Crystal Shantae Johnson, FNP-BC NPI is 1326443284. 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:

3903 S COBB DR SE
SUITE 225
SMYRNA, GA
ZIP 30080-504
Phone: (770) 434-1904
Fax: (770) 434-1304

The NPI 1326443284 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 11/4/2014 and was last updated on 6/9/2016.

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 PractitionerFamilyF0914437GEORGIAYes

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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