COURTANEY RAE JOHNSON (NP-C) – Family Nurse Practitioner, NPI 1891348256

COURTANEY RAE JOHNSON (NP-C) is a healthcare provider. based in Lawrenceville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 23050 (SC). The NPI Number for COURTANEY RAE JOHNSON (NP-C) is 1891348256

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
COURTANEY RAE JOHNSON (NP-C)
NPI
1891348256
Phone
(305) 466-9988
Address
289 S CULVER ST
Enumeration Date
24 July 2019
Last Update Date
3 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3054669988
Graduation Year
2019 (7 years ago)
PAC ID
5193158954
Group Practice PAC ID
3779842729
Professional Enrollment ID
I20191213002399
Address ID
GA300464805LA289XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:6State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for COURTANEY RAE JOHNSON (NP-C)

  • 289, Culver Street, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 30046

    Phone: (305) 466-9988

    Fax: (305) 466-9989

    Type: Location

  • 209, South Ocean Drive, Hollywood, Broward County, Florida, 33019, United States

    HOLLYWOOD, FL 330192915

    Phone: (305) 466-9988

    Fax: (305) 466-9989

    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: 2019-12-13

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
I20191209001793INurse PractitionerSCTBD
I20191213002399INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes729122$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes315119$0
11042Removal of skin and tissue, 20.0 sq cm or less28678$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17729$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less15536$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 3779842729View full group profile
NameSpecialtyState
-KY
Nurse PractitionerTN
Nurse PractitionerFL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerKY
Nurse PractitionerGA
-SC

Reviews

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Frequently asked questions

What identifier follows COURTANEY RAE JOHNSON (NP-C) across health systems?
The NPI 1891348256 uniquely identifies COURTANEY RAE JOHNSON (NP-C) in U.S. healthcare data.
Is COURTANEY RAE JOHNSON (NP-C)'s NPI status active today?
Active status means COURTANEY RAE JOHNSON (NP-C)'s NPI record is not deactivated in the public file.
How should patients interpret COURTANEY RAE JOHNSON (NP-C)'s specialty?
The extract shows Family Nurse Practitioner for COURTANEY RAE JOHNSON (NP-C). Clinical services aligned with this taxonomy classification.
Is COURTANEY RAE JOHNSON (NP-C) tied to Lawrenceville, Georgia?
If you are local to Lawrenceville, Georgia, COURTANEY RAE JOHNSON (NP-C) may be relevant to your search.
Can I export COURTANEY RAE JOHNSON (NP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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