Joann Elizabeth Johnson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

AL4556 Issued in AL

Practice address

101 Bob Wallace Ave SW
Suite E
Huntsville, AL 35801-3847

Phone

(256) 539-5339

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: joann.johnson.1@22667.direct.athenahealth.com

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.

• Children'S Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438

  Pediatrics

  Medicare reassignment NPD
• Grace Health and Wellness Family Clinic

  • Family Medicine Physician
  • Decatur, AL
  • NPI 1184454795

  Pediatrics

  Medicare reassignment NPD
• Smitmar Health Entities

  • Urgent Care Clinic/Center
  • Decatur, AL
  • NPI 1740899111
  Medicare reassignment NPD
• Athens Pediatrics

  • Pediatrics Physician
  • Huntsville, AL
  • NPI 1407043102
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1104809508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOB WALLACE AVE SW",
            "address_2": "SUITE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013847",
            "telephone_number": "256-539-5339",
            "fax_number": "256-536-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOB WALLACE AVE SW",
            "address_2": "SUITE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013847",
            "telephone_number": "256-539-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "4556",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "AL4556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51518176",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4483860",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51010283",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702470",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1403382",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Johnson, CRNP
• Emily Williams Johnson, C.R.N.P.
• Endasia Johnson
• Jeffrey S Johnson, MD
• Jeremy Tyler Johnson, MD
• John D Johnson, MD
• Joseph M Johnson, MD
• Kaitlyn Marie Johnson, BSW
• Katherine Johnson
• Kathryn Renee Johnson, CRNP

• Pediatrics Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.