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

Mr. Tracy Johnson, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1447665138

Mr. Tracy Johnson, NP is a Nurse Practitioner in Leesburg, Georgia. Qualified in 2025, 1 year ago. Practices with Georgia Pines Community Service Board, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

120 Danville Dr
Leesburg, GA 31763-5706
Phone: (229) 308-6770
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN213578 (GA)

Record details

NPI number1447665138
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 22, 2014
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address120 Danville Dr, Leesburg, GA 31763-5706

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Georgia Pines Community Service Board — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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