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

Derquis Johnson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1194447649

Derquis Johnson, FNP-C is a Nurse Practitioner in Lilburn, Georgia. Qualified in 2021, 5 years ago. Practices with Aylo Health, LLC, a 112-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4120 Five Forks Trickum Rd SW Ste 104
Lilburn, GA 30047-8975
Phone: (770) 921-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 250545 (GA)

Record details

NPI number1194447649
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 13, 2025
Certification dateSeptember 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aylo Health, Llc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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