Carelle Johnson
Custodial Care Facility · Jesup, GA
Practice location
158 Kiowa Dr SJesup, GA 31545
- Phone
- (912) 424-3204
NPI record
- NPI
- 1831997121
- Entity type
- Individual (Type 1)
- Enumeration date
- March 4, 2025
- Last updated
- March 4, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X |
CN0036020198 | GA |
About Carelle Johnson
Carelle Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Custodial Care Facility (code 311Z00000X). The practice location is 158 Kiowa Dr S, Jesup, GA 31545. The NPI number 1831997121 was assigned on March 4, 2025 and the record was last updated on March 4, 2025.
Carelle Johnson lists a license in the registry: #CN0036020198 (GA) for Custodial Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Carelle Johnson?
The NPI number is 1831997121.
What is the phone number of Carelle Johnson?
The phone number listed for the practice location is (912) 424-3204.
Where is Carelle Johnson located?
158 Kiowa Dr S, Jesup, GA 31545.
What is the taxonomy code for Carelle Johnson?
The primary taxonomy code is 311Z00000X – Custodial Care Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.