TANELL TWANNA JOHNSON – Nurse Practitioner, NPI 1306355425

TANELL TWANNA JOHNSON is a healthcare provider. based in Albany, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN191184 (GA). The NPI Number for TANELL TWANNA JOHNSON is 1306355425

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TANELL TWANNA JOHNSON
NPI
1306355425
Phone
(229) 888-6559
Address
204 N WESTOVER BLVD
Enumeration Date
20 September 2017
Last Update Date
20 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066891331
Graduation Year
2016 (10 years ago)
PAC ID
1052679057
Group Practice PAC ID
8628988276
Professional Enrollment ID
I20171221000426
Address ID
GA319032834CO1600XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for TANELL TWANNA JOHNSON

  • 204, North Westover Boulevard, Pointe North, Westwood, Albany, Dougherty County, Georgia, 31707, United States

    ALBANY, GA 317072983

    Phone: (229) 888-6559

    Type: Mailing

  • 2100, Palmyra Road, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317011320

    Phone: (298) 883-3636

    Fax: (229) 888-5535

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Gilead Sciences, Inc. ($92).

Total Amount

$147

General + Research + Ownership

Payments

6

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-12-21

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
I20171221000426INurse PractitionerGATBD

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 31707)

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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: 8628988276View full group profile
NameSpecialtyState
Nurse PractitionerAL
Clinical Social WorkerGA
Nurse PractitionerGA
Clinical PsychologistGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Family Practice, Nurse PractitionerCT

Reviews

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Frequently asked questions

Can I verify TANELL TWANNA JOHNSON with an NPI only?
You can start verification with NPI 1306355425 for TANELL TWANNA JOHNSON, then check state licensing separately.
Is TANELL TWANNA JOHNSON still practicing?
TANELL TWANNA JOHNSON is currently listed as active in the public NPI registry.
What is TANELL TWANNA JOHNSON best known for clinically?
Directory data describes TANELL TWANNA JOHNSON with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TANELL TWANNA JOHNSON?
TANELL TWANNA JOHNSON's geographic hint is Albany, Georgia in our summary view.
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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