Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Johnson, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1619726973

Andrea Johnson, AGPCNP is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2024

Practice location Address checks out

3620 Utoy Dr SW
Atlanta, GA 30331-8617
Phone: (404) 423-7768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN186781 (GA)

Record details

NPI number1619726973
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing address3620 Utoy Dr Sw, Atlanta, GA 30331-8617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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