Individual provider

Alicia Johnson

Psychiatric/Mental Health Nurse Practitioner

Alicia Johnson is a Psychiatric/Mental Health Nurse Practitioner in Kennesaw, GA, registered under NPI 1639535503.

Getting there

The practice address on file is 1300 RIDENOUR BLVD NW STE 106, Kennesaw, GA 30152. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1300 RIDENOUR BLVD NW STE 106, Kennesaw, GA 30152 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
211280 ME Psychiatric/Mental Health Nurse…
11723625-4405 UT Psychiatric/Mental Health Nurse…
20210293NP-PP OR Psychiatric/Mental Health Nurse…
APRN02540 RI Psychiatric/Mental Health Nurse…
855120 NV Psychiatric/Mental Health Nurse…
101.0135557TELE VT Psychiatric/Mental Health Nurse…
67513 ID Psychiatric/Mental Health Nurse…
086000-23 NH Psychiatric/Mental Health Nurse…
RN216448 GA Psychiatric/Mental Health Nurse…
216448 GA Psychiatric/Mental Health Nurse… primary

Licences are recorded in 9 states: ME, UT, OR, RI, NV, VT, ID, NH, GA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 9 states

This provider holds licences in 9 states: Georgia, Idaho, Maine, New Hampshire, Nevada, Oregon, Rhode Island, Utah and Vermont. The practice address on file is in Kennesaw, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
RN216448
Specialty
Psychiatric/Mental Health Nurse…
Verify with the GA board →
ID Idaho
Licence
67513
Specialty
Psychiatric/Mental Health Nurse…
Verify with the ID board →
ME Maine
Licence
211280
Specialty
Psychiatric/Mental Health Nurse…
Verify with the ME board →
NH New Hampshire
Licence
086000-23
Specialty
Psychiatric/Mental Health Nurse…
Verify with the NH board →
NV Nevada
Licence
855120
Specialty
Psychiatric/Mental Health Nurse…
Verify with the NV board →
OR Oregon
Licence
20210293NP-PP
Specialty
Psychiatric/Mental Health Nurse…
Verify with the OR board →
RI Rhode Island
Licence
APRN02540
Specialty
Psychiatric/Mental Health Nurse…
Verify with the RI board →
UT Utah
Licence
11723625-4405
Specialty
Psychiatric/Mental Health Nurse…
Verify with the UT board →
VT Vermont
Licence
101.0135557TELE
Specialty
Psychiatric/Mental Health Nurse…
Verify with the VT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 211280 ME
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 11723625-4405 UT
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 20210293NP-PP OR
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN02540 RI
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 855120 NV
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 101.0135557TELE VT
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 67513 ID
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 086000-23 NH
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health RN216448 GA
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 216448 GA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1639535503 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 7, 2016
Last updatedJul 15, 2025
StatusActive
Sole proprietorNo
GenderFemale
Practice address 1300 RIDENOUR BLVD NW STE 106
Kennesaw, GA 30152
(470) 315-0055
Fax (470) 464-7070
This record was updated on Jul 15, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1639535503 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 3 9 5 3 5 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 6 9 1 3 1 5 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1639535503?
NPI 1639535503 is the National Provider Identifier assigned to Alicia Johnson in Kennesaw, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Alicia Johnson?
The phone number on file with NPPES is (470) 315-0055, last updated Jul 15, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1639535503 a valid number?
Yes. 1639535503 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.