Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447809280 Individual Practitioner Female Practitioner

Rebecca Kay Johnson , AGNP-C

Nurse Practitioner • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Rebecca Johnson, AGNP-C is a registered healthcare professional specializing in Nurse Practitioner in Jackson, MS. Practice services are available at 1500 E WOODROW WILSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Woodrow Wilson Ave

Jackson, MS 392165116

Telephone 6013624471
Associated Practice Facility / Clinic
🏢 Jackson Vamc Facility NPI 1932167756

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% 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: 2023-08-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 903507

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MS 903507

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Melissa Graig , RN

Registered Nurse

NPI 1003151135

Registered Nurse

NPI 1003228719

Doctor of Philosophy (Ph.D.)

Lillian Roberson

Technician - Attendant Care Provider

NPI 1003777434
NPI 1003911231

Registered Pharmacist

Brenda Day , CLINICAL NURSE SPECI

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1003996265

CLINICALNURSESPECI

Angela Causey , MS, RD

Dietitian, Registered

NPI 1013011329

Master of Science, Registered Dietitian

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 22, 2023

Registered at 1500 E WOODROW WILSON AVE, JACKSON, MS 392165116 (Tel: 6013624471)

👤
Provider Name / Credentials Updated August 22, 2023

Recorded as REBECCA JOHNSON, AGNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

Nurse Practitioner (License #903507 in MS)

NPI Profile Active September 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2019

Registered at 104 W RAILROAD AVE S, CRYSTAL SPRINGS, MS 390592111 (Tel: 6018923063)

📍
Updated Business Mailing Address September 04, 2019

Registered at 8079 HARMONY RD, CRYSTAL SPRINGS, MS 390599249 (Tel: 6013279088)

👤
Provider Name / Credentials Updated September 04, 2019

Recorded as REBECCA JOHNSON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2019

Nurse Practitioner (License #903507 in MS)

🟢
Initial NPI Registration & Enumeration September 04, 2019

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: 1447809280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2019
Last Update: August 22, 2023
Sole Proprietor: No

Mailing Address

8079 Harmony Rd

Crystal Springs, MS 390599249

Phone: 6013279088

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.