Organization Active NPI

Carol M Johnson MD LLC

  • Family Medicine Physician
  • Alabaster, AL
National Provider Identifier
1053637934
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11601 Issued in AL
Legal business name
CAROL M JOHNSON MD LLC
Practice address
224 1St St N
Suite 200
Alabaster, AL 35007-8767
Phone
(205) 664-7570
Fax
(205) 664-7584
NPI assigned
Apr 16, 2010
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Carol M Johnson, MDNPI 1396854576
Title
Member
Phone
(205) 664-7570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11601 AL Primary

Addresses

Primary practice location

224 1St St N
Suite 200
Alabaster, AL 35007-8767

Mailing address

224 1St St N
Suite 200
Alabaster, AL 35007-8767
Phone (205) 664-7570

Other identifiers 1

IdentifierTypeStateIssuer
510-07223OtherALBLUE CROSS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

224 1st St N
Ste 200
Alabaster, AL 35007
Phone (205) 621-0122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1053637934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 1ST ST N",
            "address_2": "SUITE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078767",
            "telephone_number": "205-664-7570",
            "fax_number": "205-664-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 1ST ST N",
            "address_2": "SUITE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078767",
            "telephone_number": "205-664-7570",
            "fax_number": "205-664-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL M JOHNSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-664-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD11601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "510-07223",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.