KIMBERELY DAWN JOHNSON (APRN, FNP-C) – Family Nurse Practitioner, NPI 1215416516

KIMBERELY DAWN JOHNSON (APRN, FNP-C) is a healthcare provider. based in Cairo, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. RN168872 (GA). The NPI Number for KIMBERELY DAWN JOHNSON (APRN, FNP-C) is 1215416516

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERELY DAWN JOHNSON (APRN, FNP-C)
NPI
1215416516
Phone
(229) 225-7238
Address
827 GA HIGHWAY 93 N
Enumeration Date
8 August 2018
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292468850
Graduation Year
2018 (8 years ago)
PAC ID
0143605113
Group Practice PAC ID
8729418454
Professional Enrollment ID
I20220913000667
Address ID
GA398194581BA920XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for KIMBERELY DAWN JOHNSON (APRN, FNP-C)

  • G, Departure, Cairo, 11351, Egypt

    CAIRO, GA 398275729

    Phone: (229) 225-7238

    Fax: (229) 377-0832

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Almatica Pharma LLC ($85).

Total Amount

$357

General + Research + Ownership

Payments

20

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220913000667INurse PractitionerGATBD
I20230404000006INurse PractitionerFLTBD

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 39827)

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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: 8729418454View full group profile
NameSpecialtyState
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does KIMBERELY DAWN JOHNSON (APRN, FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERELY DAWN JOHNSON (APRN, FNP-C) uses 1215416516.
Is KIMBERELY DAWN JOHNSON (APRN, FNP-C) listed as active for patients and plans?
The listing shows KIMBERELY DAWN JOHNSON (APRN, FNP-C) as active in the NPI system.
What healthcare role does KIMBERELY DAWN JOHNSON (APRN, FNP-C) hold?
Scheduling teams often label KIMBERELY DAWN JOHNSON (APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERELY DAWN JOHNSON (APRN, FNP-C) on a map?
Expect Cairo, Georgia as a primary anchor for KIMBERELY DAWN JOHNSON (APRN, FNP-C) 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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