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

Renee Johnson

Individual provider Registered Nurse · NPI 1023867785

Renee Johnson is a Nurse Practitioner in Athens, Georgia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Georgia and New York.

Years since qualifying
1
Licensed in
GA, NY
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone: (706) 389-6789
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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 407505 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN259072 (GA)
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X · Licence 2025040897 (GA)

Record details

NPI number1023867785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address2245 Ewell Park Dr, Lawrenceville, GA 30043-1708

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Athens