KIMBERLY LAWAYNE JOHNSON (RN) – Family Nurse Practitioner, NPI 1053173393

KIMBERLY LAWAYNE JOHNSON (RN) is a healthcare provider. based in Centreville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 1-189125 (AL). The NPI Number for KIMBERLY LAWAYNE JOHNSON (RN) is 1053173393

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KIMBERLY LAWAYNE JOHNSON (RN)
NPI
1053173393
Phone
(205) 926-2992
Address
405 BELCHER ST
Enumeration Date
23 January 2024
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059262992
Graduation Year
2025 (1 year ago)
PAC ID
2961991716
Group Practice PAC ID
1355597923
Professional Enrollment ID
I20251030004549
Address ID
AL350422946CE405XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KIMBERLY LAWAYNE JOHNSON (RN)

  • 405 BELCHER ST

    CENTREVILLE, AL 350422946

    Phone: (205) 926-2992

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030004549INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355597923View full group profile
NameSpecialtyState
Family Practice, Internal MedicineAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
P S Y C H I A T R YAL
Nurse PractitionerAL
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Does KIMBERLY LAWAYNE JOHNSON (RN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY LAWAYNE JOHNSON (RN) uses 1053173393.
Does CMS list KIMBERLY LAWAYNE JOHNSON (RN) as active?
Yes — KIMBERLY LAWAYNE JOHNSON (RN) is active in the NPI listing used on this page.
What is KIMBERLY LAWAYNE JOHNSON (RN) best known for clinically?
Directory data describes KIMBERLY LAWAYNE JOHNSON (RN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY LAWAYNE JOHNSON (RN) on a map?
Expect Centreville, Alabama as a primary anchor for KIMBERLY LAWAYNE JOHNSON (RN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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