Jan Delroy Johnson, FNP-C in Atlanta, GA - Medicare Nurse Practitioner

Jan Delroy Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. His current practice location is 2056 Donald Lee Hollowell Pkwy Nw Ste 1, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 890-3910.

Jan Delroy Johnson is licensed to practice in Georgia (license number RN258005) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023518537.

Contact Information

	Jan Delroy Johnson, FNP-C
	2056 Donald Lee Hollowell Pkwy Nw Ste 1, Atlanta, GA 30318-4764
	(470) 890-3910
	(877) 445-5270

Map and Direction

Provider's Profile

Full Name	Jan Delroy Johnson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2056 Donald Lee Hollowell Pkwy Nw Ste 1, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023518537
Provider Enumeration Date: 02/20/2018
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 8628328234
Enrollment ID: I20180831001238

Medical Identifiers

Medical identifiers for Jan Delroy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023518537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN258005 (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. Jan Delroy Johnson allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Centerwell Senior Primary Care Ga Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801463468 PECOS PAC ID: 3274939061 Enrollment ID: O20210901004313

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. Jan Delroy 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
Jan Delroy Johnson, FNP-C 4700 Millenia Blvd, Orlando, FL 32839-6013 Ph: (407) 533-6837	Jan Delroy Johnson, FNP-C 2056 Donald Lee Hollowell Pkwy Nw Ste 1, Atlanta, GA 30318-4764 Ph: (470) 890-3910

Reviews and Comments

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Jan Delroy Johnson, FNP-C - Medicare Nurse Practitioner in Atlanta, GA