JAN DELROY JOHNSON (FNP-C) – Nurse Practitioner, NPI 1023518537
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JAN DELROY JOHNSON (FNP-C)
PO BOX 740015
ATLANTA, GA 303740015
Phone: (312) 733-9730
Type: Mailing
2056 Donald Lee Hollowell Pkwy NW Ste 1
Atlanta, GA 303184764
Phone: (470) 890-3910
Fax: (877) 445-5270
Type: Location
4547 SEQUOIA PARK TRL
SNELLVILLE, GA 300392763
Phone: (404) 452-1407
Type: Mailing
Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States
ATLANTA, GA 303221013
Phone: (404) 778-4898
Type: Location
3088 WASHINGTON RD
EAST POINT, GA 303444566
Phone: (470) 444-3135
Fax: (404) 777-9336
Type: Location
4700 MILLENIA BLVD
ORLANDO, FL 328396013
Phone: (407) 533-6837
Fax: (407) 770-0661
Type: Mailing
2056 DONALD LEE HOLLOWELL PKWY NW STE 1
ATLANTA, GA 303184764
Phone: (470) 890-3910
Fax: (877) 445-5270
Type: Location
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: 2018-08-31
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 |
|---|---|---|---|---|
| I20180831001238 | I | Nurse Practitioner | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | AZ | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | AL |
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