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Active NPI 1457692352 Individual Practitioner Female Practitioner

Andraes N Johnson , LPN

Licensed Practical Nurse • Hephzibah, GA

Professional Overview & Biography Verified Profile Summary

Andraes Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Hephzibah, GA. Practice services are available at 4130 MICHAEL PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4130 Michael Pl

Hephzibah, GA 308155937

Telephone 7065896667
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hephzibah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Hephzibah, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-12
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN63232

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Vocational Nurse

NUCC Taxonomy Code: 164X00000X

State License GA 062322

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Georgia Nursing Board
LPN63232 (GA)

Secondary Practice Locations

4902 Luton Dr

Grovetown, GA 308132237

Phone: 7065896667

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address September 12, 2024

Registered at 4902 LUTON DR, GROVETOWN, GA 308132237 (Tel: 7065896667)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Licensed Vocational Nurse (License #062322 in GA)

NPI Profile Active March 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2013

Registered at 4130 MICHAEL PL, HEPHZIBAH, GA 308155937 (Tel: 7065896667)

📍
Updated Business Mailing Address March 03, 2013

Registered at 4130 MICHAEL PL, HEPHZIBAH, GA 308155937 (Tel: 7065896667)

👤
Provider Name / Credentials Updated March 03, 2013

Recorded as ANDRAES JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2013

Licensed Practical Nurse (License #LPN63232 in GA)

🟢
Initial NPI Registration & Enumeration March 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457692352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2013
Last Update: September 12, 2024
Sole Proprietor: Yes

Mailing Address

4902 Luton Dr

Grovetown, GA 308132237

Phone: 7065896667

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.