Individual provider Active NPI

Michael W Johnston, M.D.

  • Family Medicine Physician
  • Phenix City, AL
National Provider Identifier
1043250327
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9782 Issued in AL
Practice address
7 Windsweep CT
Phenix City, AL 36870-2336
Phone
(334) 297-5555
Fax
(334) 297-5525
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022796 GA
Family Medicine Physician 207Q00000X 9782 AL Primary

Addresses

Primary practice location

7 Windsweep CT
Phenix City, AL 36870-2336

Mailing address

7 Windsweep CT
Phenix City, AL 36870-2336
Phone (334) 297-5555

Other identifiers 3

IdentifierTypeStateIssuer
51016536OtherALBLUECROSS OF ALABAMA
000016536MedicaidAL
00253118CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100708000025 AL Practitioner - Family Practice 4385775394 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL
I20120427000594 GA Practitioner - Family Practice 4385775394 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Windsweep CT
Phenix City, AL 36870-2336
Phone 33429755553

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Phenix City, AL, CCN 017307
  • Amedisys Home Health of Opelika Home health agency, Opelika, AL, CCN 017157
  • Enhabit Home Health Home health agency, Dothan, AL, CCN 017053
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168
  • Rehabilitation Hospital of Phenix City Inpatient rehabilitation facility, Phenix City, AL, CCN 013033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022796GAMDFamily Medicine Physician

Practice roles (1 of 7)

OrganizationSpecialtyStatusNew patients
Primary Care Plus Family Medicine CurrentSince Nov 15, 1996 Accepting new patients

Locations

7 Windsweep Ct
Phenix City, AL 36870
Phone (334) 297-5555

Networks

  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01C0

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1043250327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINDSWEEP CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368702336",
            "telephone_number": "334-297-5555",
            "fax_number": "334-297-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WINDSWEEP CT",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368702336",
            "telephone_number": "334-297-5555",
            "fax_number": "334-297-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022796",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF ALABAMA",
            "identifier": "51016536",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000016536",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00253118C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

Verify at the official NPI Registry.