Ms Crystal Shantae Johnson, FNP-BC in Smyrna, GA

Ms Crystal Shantae Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Smyrna, Georgia. Her current practice location is 3903 S Cobb Dr Se, Suite 225, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 434-1904.

Ms Crystal Shantae Johnson is licensed to practice in Georgia (license number F0914437) 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 1326443284.

Contact Information

	Ms Crystal Shantae Johnson, FNP-BC
	3903 S Cobb Dr Se, Suite 225, Smyrna, GA 30080-8504
	(770) 434-1904
	(770) 434-1304

Map and Direction

Provider's Profile

Full Name	Ms Crystal Shantae Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3903 S Cobb Dr Se, Smyrna, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326443284
Provider Enumeration Date: 11/04/2014
Last Update Date: 06/09/2016

Medicare PECOS Information:

PECOS PAC ID: 1153636980
Enrollment ID: I20150821014417

Medical Identifiers

Medical identifiers for Ms Crystal Shantae Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326443284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F0914437 (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. Ms Crystal Shantae Johnson allows following entities to bill medicare on her behalf.

Entity Name	Geps Physician Group Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881064467 PECOS PAC ID: 3274842646 Enrollment ID: O20151026001838

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. Ms Crystal Shantae 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
Ms Crystal Shantae Johnson, FNP-BC 705 Waterbrook Ter, Roswell, GA 30076-2933 Ph: (404) 281-7385	Ms Crystal Shantae Johnson, FNP-BC 3903 S Cobb Dr Se, Suite 225, Smyrna, GA 30080-8504 Ph: (770) 434-1904

Reviews and Comments

Nurse Practitioner Nurses in Smyrna, GA

Brooke L Kahler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3948 Central Garden Ct Se, Smyrna, GA 30080 Phone: 785-806-8612
Kelly Ann Borders, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 319, Smyrna, GA 30080 Phone: 770-792-6262
Erin Ferguson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4581 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 770-801-5000
Mrs. Yuri Ayana Taylor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178
Priscilla Elyse Colpo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3634 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-970-0858
Dr. Angelyn Levell-smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2994 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-435-2178
Mrs. Ashley Howard Montcalm, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 206, Smyrna, GA 30080 Phone: 770-333-2020 Fax: 770-333-2023

Ms Crystal Shantae Johnson, FNP-BC - Medicare Nurse Practitioner in Smyrna, GA