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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1184449878

Miatta Lassanah Johnson, PMHNP is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1557 Buford Drive Pobox 492994
Lawrenceville, GA 30043
Phone: (470) 305-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN259964 (GA)

Record details

NPI number1184449878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 18, 2024

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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