Danielle Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Warner Robins, Georgia. Her current practice location is
101 Willie Lee Pkwy, Warner Robins, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 477-0966.
Danielle Johnson is licensed to practice in Georgia (license number RN249228) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396398053.
Physician's Profile
Full Name | Danielle Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 101 Willie Lee Pkwy, Warner Robins, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396398053
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779916598
- Enrollment ID: I20191210001220
Medical Identifiers
Medical identifiers for Danielle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396398053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 249228 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN249228 (Georgia) | Primary |
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. Danielle Johnson allows following entities to bill medicare on her behalf.
Entity Name | Southern Primary Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225551328 PECOS PAC ID: 3173897196 Enrollment ID: O20170914001778 |
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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. Danielle 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 |
Danielle Johnson, FNP-C 209 N Camellia Blvd, Fort Valley, GA 31030-3368 Ph: (478) 822-0054 | Danielle Johnson, FNP-C 101 Willie Lee Pkwy, Warner Robins, GA 31088-9244 Ph: (478) 477-0966 |
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