Michael W Johnson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R850442 Issued in MS

Practice address

62 Highway 587
Foxworth, MS 39483-5026

Phone

(601) 424-3540

NPI assigned

Aug 18, 2006

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Clinic at Farmers MedshoppeGroup PAC ID 2466584982, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Forrest General Home Care of Marion General Home health agency, Columbia, MS, CCN 257089
• Marion General Hospital Hospital, Columbia, MS, CCN 250085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Clinic at Farmers Medshoppe

  • Primary Care Clinic/Center
  • Foxworth, MS
  • NPI 1487972568
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest County General Hospital

  dba Forrest General Home Care of Marion General

  • Home Health Agency
  • Columbia, MS
  • NPI 1417229055
  Care Compare affiliation
• Forrest County General Hospital

  dba Marion General Hospital

  • General Acute Care Hospital
  • Columbia, MS
  • NPI 1427320993
  Care Compare affiliation
• Home Health Care Systems, Inc.

  dba Enhabit Home Health & Hospice

  • Home Health Agency
  • Hattiesburg, MS
  • NPI 1760416754
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1033223995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "FOXWORTH",
            "state": "MS",
            "postal_code": "394830669",
            "telephone_number": "601-424-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HIGHWAY 587",
            "city": "FOXWORTH",
            "state": "MS",
            "postal_code": "394835026",
            "telephone_number": "601-424-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122096",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572ND",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward N Gatlin, ETC
• Sarah Kate Giacobbe, M.S., CCC-SLP
• Melissa Gipson, SLP
• Laura Hull, SLP
• Amelia Hutto, M.S., CFY-SLP
• Micheal Johnson, SLP
• Amanda Leigh Jones
• Kristen Kutza, M.S., CCC-SLP
• Nicole Lampton, P.T.
• Roxanne Luckett

• Family Nurse Practitioner in Foxworth, MS
• Providers in Foxworth, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.