Active NPI
David P. Johnson, M.D.
- Pain Medicine Physician
- Destin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME139293
- Practice address
- 36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701 - Phone
- (850) 863-2153
- NPI assigned
- May 14, 2014
- Last updated
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD38074 | AL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME139293 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 085105 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | ME139293 | FL | |
| Pain Medicine Physician | 208VP0000X | ME139293 | FL | Primary |
Addresses
Primary practice location
36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701
Mailing address
36474C Emerald Coast Pkwy Ste 3101
Destin, FL 32541-6701
Phone (850) 863-2153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Temple University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 344-1646
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD38074 | AL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Interventional Pain Medicine | Past | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
Interoperability endpoints
- david.johnson.1@9109.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Multi-Specialty Clinic/Center
- Tallahassee, FL
- NPI 1326357005
GA
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Interventional Pain Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1134530926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36474C EMERALD COAST PKWY STE 3101",
"city": "DESTIN",
"state": "FL",
"postal_code": "325416701",
"telephone_number": "850-863-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36474C EMERALD COAST PKWY STE 3101",
"city": "DESTIN",
"state": "FL",
"postal_code": "325416701",
"telephone_number": "850-863-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AL",
"license": "MD38074",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME139293",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "085105",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME139293",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME139293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.