MRS. ANGELETTA ANSLEY JOHNSON (ARNP) – Adult Health Nurse Practitioner, NPI 1447687512

MRS. ANGELETTA ANSLEY JOHNSON (ARNP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN116219 (GA). The NPI Number for MRS. ANGELETTA ANSLEY JOHNSON (ARNP) is 1447687512

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANGELETTA ANSLEY JOHNSON (ARNP)
NPI
1447687512
Phone
(678) 557-7517
Address
2001 MLK JR. BLVD., SUITE 418
Enumeration Date
3 October 2013
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2012 (14 years ago)
PAC ID
5698098929
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20141217002744
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes

Contacts

Secure Messaging
ajohnson521263@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ANGELETTA ANSLEY JOHNSON (ARNP)

  • 2001 MLK JR. BLVD., SUITE 418

    AVENIA BEHAVIORAL MANAGEMENT INC

    ATLANTA, GA 30310

    Phone: (678) 557-7517

    Type: Mailing

  • 2001 MLK Jr. Blvd., Suite 418

    Avenia Behavioral Management Inc

    Atlanta, GA 30310

    Phone: (678) 557-7517

    Type: Location

  • 1625 HOSPITAL SOUTH DR

    AUSTELL, GA 301068111

    Phone: (470) 732-6950

    Type: Mailing

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: 2022-04-29

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
I20141217002744INurse PractitionerGATBD
I20220429000790INurse PractitionerALTBD

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
90792Psychiatric diagnostic evaluation with medical services1515$0
View full utilization report →

Insurance plans in this area (ZIP 30310)

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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

Is there an official ID for MRS. ANGELETTA ANSLEY JOHNSON (ARNP) in U.S. healthcare records?
The official identifier for MRS. ANGELETTA ANSLEY JOHNSON (ARNP) is NPI 1447687512.
Is MRS. ANGELETTA ANSLEY JOHNSON (ARNP) shown as active in public data?
Registry records indicate MRS. ANGELETTA ANSLEY JOHNSON (ARNP) maintains an active NPI.
What kind of doctor is MRS. ANGELETTA ANSLEY JOHNSON (ARNP)?
MRS. ANGELETTA ANSLEY JOHNSON (ARNP) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. ANGELETTA ANSLEY JOHNSON (ARNP)?
Directory geography for MRS. ANGELETTA ANSLEY JOHNSON (ARNP) centers on Atlanta, Georgia.
Can I trust this NPI listing for MRS. ANGELETTA ANSLEY JOHNSON (ARNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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