MR. VERNON TIMOTHY JOHNSON (FNP) – Family Nurse Practitioner, NPI 1447823190

MR. VERNON TIMOTHY JOHNSON (FNP) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN127971 (GA). The NPI Number for MR. VERNON TIMOTHY JOHNSON (FNP) is 1447823190

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. VERNON TIMOTHY JOHNSON (FNP)
NPI
1447823190
Phone
Not provided
Address
1305 OCILLA RD
Enumeration Date
21 July 2021
Last Update Date
21 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125303395
Graduation Year
2021 (5 years ago)
PAC ID
6305244203
Group Practice PAC ID
6103926241
Professional Enrollment ID
I20211007000459
Address ID
GA315450210JE865XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MR. VERNON TIMOTHY JOHNSON (FNP)

  • 1305 OCILLA RD

    DOUGLAS, GA 315332209

    Phone:

    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 18 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($125).

Total Amount

$345

General + Research + Ownership

Payments

18

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2021-10-07

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
I20211007000459INurse 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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report290243$0
99214Established patient office or other outpatient visit, 30-39 minutes276234$0
99213Established patient office or other outpatient visit, 20-29 minutes3231$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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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: 6103926241View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineLA
Physician AssistantGA
-NC
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
Emergency MedicineFL
Family PracticeTX

Reviews

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Frequently asked questions

Does MR. VERNON TIMOTHY JOHNSON (FNP) have a public NPI I can cite?
Public records show MR. VERNON TIMOTHY JOHNSON (FNP) under NPI 1447823190.
Is MR. VERNON TIMOTHY JOHNSON (FNP)'s NPI status active today?
Active status means MR. VERNON TIMOTHY JOHNSON (FNP)'s NPI record is not deactivated in the public file.
What type of care does MR. VERNON TIMOTHY JOHNSON (FNP) provide?
MR. VERNON TIMOTHY JOHNSON (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. VERNON TIMOTHY JOHNSON (FNP)?
MR. VERNON TIMOTHY JOHNSON (FNP) shows a connection to Douglas, Georgia in registry-derived data.
Who maintains MR. VERNON TIMOTHY JOHNSON (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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