Active NPI
John S Johnson, M.D.
- Internal Medicine Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C8443
- Practice address
- 225 E Washington Ave
Jonesboro, AR 72401-3111 - Phone
- (870) 207-1539
- Fax
- (870) 207-6581
- NPI assigned
- Oct 6, 2005
- Last updated
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C8443 | AR | Primary |
Addresses
Primary practice location
225 E Washington Ave
Jonesboro, AR 72401-3111
Mailing address
107 Huntcliff Dr
Jonesboro, AR 72404-8844
Phone (870) 761-2182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129915001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 933-5174
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Hospital Inc | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Medical Rehab Group LLP | Current | Accepting new patients |
Locations
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
111 S Main St
Leachville, AR 72438
Phone (870) 539-1115
Interoperability endpoints
- johnjohnson@sbpc.medalliesdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1669856704
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1336150374
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
dba St Bernards Surgical Associates
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Jonesboro
- Rehabilitation Hospital
- Jonesboro, AR
- NPI 1417292608
Inpatient rehabilitation facility
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1083602882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 HUNTCLIFF DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048844",
"telephone_number": "870-761-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E WASHINGTON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013111",
"telephone_number": "870-207-1539",
"fax_number": "870-207-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C8443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129915001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.