LEIGH SUZANNE JOHNSON (NP) – Nurse Practitioner, NPI 1609861442
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for LEIGH SUZANNE JOHNSON (NP)
1032 Mar Walt Drive
Suite 210
Fort Walton Beach, FL 325476661
Phone: (850) 863-8260
Fax: (850) 862-6098
Type: Location
Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
GASTROENTEROLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Phone: (850) 863-8260
Fax: (850) 862-6098
Type: Mailing
1032, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
SUITE 210
FORT WALTON BEACH, FL 325476661
Phone: (850) 863-8260
Fax: (850) 862-6098
Type: Location
111 W STONE DR STE 200
KINGSPORT, TN 376606028
Phone: (423) 723-2030
Fax: (423) 247-4110
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,554.
Total Amount is formed as General ($1,554) + Research ($0) + Ownership ($0) = $1,554.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($379).
Total Amount
$1,554
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,554
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $379 |
| Teva Pharmaceuticals USA, Inc. | $136 |
| Exact Sciences Corporation | $114 |
| ITI, Inc. | $106 |
| Alkermes, Inc. | $91 |
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: 2011-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110112000328 | I | Nurse Practitioner | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 60 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 26 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 21 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 20 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
Insurance plans in this area (ZIP 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| General Surgery | MD | |
| Pulmonary Disease, Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | KY | |
| Orthopedic Surgery | GA |
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