IndividualActive
Carelle Johnson
NPI 1831997121 · Custodial Care Facility · Jesup, GA
Provider details
- NPI number
- 1831997121
- Entity type
- Individual
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- CN0036020198 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
158 Kiowa Dr S
Jesup, GA 31545
Phone: (912) 424-3204
Street-level locationGet directions
Mailing address
158 Kiowa Dr S
Jesup, GA 31545
Registry dates
- Enumerated
- 2025-03-04
- Last updated
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.