Camille M Johnson, NP is a medicare enrolled "Nurse Practitioner" physician in Powder Springs, Georgia. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Professional Services Llc and her current practice location is
5230 Dallas Hwy, Powder Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 948-3019.
Camille M Johnson is licensed to practice in Georgia (license number RN3105332) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811049448.
Physician's Profile
| Full Name | Camille M Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 5230 Dallas Hwy, Powder Springs, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Camille M Johnson graduated from medical school in 2001
NPI Data:
- NPI Number: 1811049448
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305904111
- Enrollment ID: I20220414001831
Medical Identifiers
Medical identifiers for Camille M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811049448 | NPI | - | NPPES |
| 1811049448 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | RN3105332 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201599 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | RN3105332 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Piedmont Professional Services Llc | 8921176231 | 132 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Camille M Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Camille M Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Camille M Johnson, NP
1201 Carolina Ave,
Washington, NC 27889-3571
Ph: (252) 975-1111 | Camille M Johnson, NP
5230 Dallas Hwy,
Powder Springs, GA 30127-4263
Ph: (404) 948-3019 |
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