Gladys B. Johnson
NPI 1407458102ActiveIndividual· Nurse Practitioner, Family· Stone Mountain, GA
Nurse Practitioner, Family with Blackpool LLC, practicing in Stone Mountain, Georgia. Part D covered 31 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1407458102 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Nov 9, 2020 |
| Certified by provider | Nov 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN163718 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 35 30-day fills |
|---|---|
| Total drug cost | $2,471 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Blackpool LLCCumming, GA · 3 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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