Individual provider Active NPI

Anthony Gerard Johnson, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1063522811
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
020613 Issued in LA
Practice address
22 Charlotte Dr
New Orleans, LA 70122-2532
Phone
(504) 648-7956
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 020613 LA Primary

Addresses

Primary practice location

22 Charlotte Dr
New Orleans, LA 70122-2532

Mailing address

22 Charlotte Dr
New Orleans, LA 70122-2532
Phone (504) 648-7956

Other identifiers 1

IdentifierTypeStateIssuer
1998028MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020613LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority Current Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1063522811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHARLOTTE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222532",
            "telephone_number": "504-648-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHARLOTTE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701222532",
            "telephone_number": "504-648-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTHONY",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "020613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998028",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.