MEDICARE: MRS. DENITRA JOHNSON AGPCNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0600X	Gerontology Registered Nurse	RN208697	GA

General Provider Information

NPI Number	:	1760310874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DENITRA JOHNSON AGPCNP

Provider Business Mailing Address
First Line	:	204 WESTCHESTER TRL
Second Line	:
City	:	KATHLEEN
State	:	GA
Zip	:	31047-2897
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 WESTCHESTER TRL
Second Line	:
City	:	KATHLEEN
State	:	GA
Zip	:	31047-2897
Country	:	US
Telephone Number	:	912-403-0286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

Similar Medicare Providers

1619500774 — MARTILA HOOKS
Practice Location Address:

307 PEARL MOSS LN
KATHLEEN, GA
31047-2961

Practice Phone: 478-484-8968
Practice Fax:

1922006444 — EDNA R WATTS NP
Practice Location Address:

1012 GA HIGHWAY 247 S
KATHLEEN, GA
31047-2349

Practice Phone: 478-987-1261
Practice Fax: 478-218-0839

1528032067 — JANICE MARIE PLYLER CRNA
Practice Location Address:

107 PLANTATION CIR
KATHLEEN, GA
31047-2039

Practice Phone: 478-987-7480
Practice Fax: 478-743-6296

1306898655 — JASON CURTIS HESTER M.D.
Practice Location Address:

1114 GA HIGHWAY 96 STE D3-D5
KATHLEEN, GA
31047-2111

Practice Phone: 478-910-1090
Practice Fax: 478-910-1091

1629017678 — PUBLIX SUPER MARKETS INC
Practice Location Address:

1114 GA HIGHWAY 96
KATHLEEN, GA
31047-2111

Practice Phone: 478-987-6788
Practice Fax: 478-987-6920

1376572057 — MARIE KAY DAVIS PT
Practice Location Address:

2510 GA HIGHWAY 127
KATHLEEN, GA
31047-2828

Practice Phone: 478-971-1153
Practice Fax: 478-971-1171

Directions to “ MRS. DENITRA JOHNSON AGPCNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.