NICOLE HEATHER JOHNSON – Acute Care Nurse Practitioner, NPI 1356819569

NICOLE HEATHER JOHNSON is a healthcare provider. based in Kennesaw, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. 188988 (GA). The NPI Number for NICOLE HEATHER JOHNSON is 1356819569

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HEATHER JOHNSON
NPI
1356819569
Phone
(818) 641-8850
Address
4305 OKLAHOMA WAY NW
Enumeration Date
6 November 2018
Last Update Date
6 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2018 (8 years ago)
PAC ID
2668717174
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190102001406
Address ID
GA301527742KE5150XRDXX501
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

Provider Addresses for NICOLE HEATHER JOHNSON

  • 4305 OKLAHOMA WAY NW

    KENNESAW, GA 301525434

    Phone: (818) 641-8850

    Type: Mailing

  • 55 WHITCHER ST NE STE 160

    MARIETTA, GA 300601160

    Phone: (470) 956-8276

    Fax: (770) 795-9161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABIOMED ($39).

Total Amount

$98

General + Research + Ownership

Payments

4

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2019-01-02

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
I20190102001406INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes17360$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1212$0
View full utilization report →

Insurance plans in this area (ZIP 30152)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify NICOLE HEATHER JOHNSON for billing?
Administrative and clinical systems typically use NPI 1356819569 for NICOLE HEATHER JOHNSON.
Is NICOLE HEATHER JOHNSON currently accepting referrals based on NPI status?
Registry metadata lists NICOLE HEATHER JOHNSON as active.
What type of care does NICOLE HEATHER JOHNSON provide?
NICOLE HEATHER JOHNSON's profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit NICOLE HEATHER JOHNSON in Kennesaw, Georgia?
For routing, start with Kennesaw, Georgia for NICOLE HEATHER JOHNSON, then verify phone and hours locally.
Why is information missing for NICOLE HEATHER JOHNSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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