DR. ALICIA KAY JOHNSON – Family Nurse Practitioner, NPI 1639535503
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ALICIA KAY JOHNSON
3915 CASCADE ROAD SW
ATLANTA, GA 30331
Phone: (678) 973-2370
Fax: (470) 819-4995
Type: Mailing
1300 RIDENOUR BLVD NW STE 106
KENNESAW, GA 301524528
Phone: (470) 315-0055
Fax: (470) 464-7070
Type: Location
3915 CASCADE RD SW
ATLANTA, GA 303318512
Phone: (678) 973-2370
Fax: (470) 819-4995
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,113.
Total Amount is formed as General ($2,113) + Research ($0) + Ownership ($0) = $2,113.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($541).
Total Amount
$2,113
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $541 |
| ITI, Inc. | $224 |
| Janssen Pharmaceuticals, Inc | $161 |
| Tris Pharma Inc | $130 |
| Corium, LLC | $108 |
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: 2020-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200630003159 | I | Psychiatry | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 269 | 47 | $0 |
Insurance plans in this area (ZIP 30331)
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