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

Kiana Yvette Johnson

Individual provider Registered Nurse · NPI 1811630544

Kiana Yvette Johnson is a Nurse Practitioner in Dublin, Georgia. Qualified in 2023, 3 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia and North Carolina.

Years since qualifying
3
Licensed in
FL, GA, NC
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

511 Academy Ave
Dublin, GA 31021-5201
Phone: (943) 888-1824
Fax: (833) 563-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5022444 (NC)
Registered Nurse Taxonomy 163W00000X · Licence RN9505350 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence GAA-NP001722 (GA)

Record details

NPI number1811630544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2022
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dublin