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

Mrs. Carelle Johnson

Individual provider Custodial Care Facility · NPI 1831997121

Mrs. Carelle Johnson is a Custodial Care Facility in Jesup, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

158 Kiowa Dr S
Jesup, GA 31545
Phone: (912) 424-3204
Show map & directions

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

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence CN0036020198 (GA)

Record details

NPI number1831997121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 4, 2025
Mailing address158 Kiowa Dr S, Jesup, GA 31545