NPIMap

Individual provider Active NPI

Steve D Johnson, M.D.

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1144338880
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8412 Issued in AL
Practice address
701 19TH St E
Jasper, AL 35501-5503
Phone
(205) 221-1516
Fax
(205) 387-9539
NPI assigned
Aug 25, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8412 AL Primary

Addresses

Primary practice location

701 19TH St E
Jasper, AL 35501-5503

Mailing address

1400 7TH Ave
Jasper, AL 35501-4583
Phone (205) 221-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000369 AL Practitioner - Internal Medicine 3476516402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 19TH St E
Jasper, AL 35501-5503
Phone (205) 221-1516

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions82
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8412ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Medical Diagnostics, LLC Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Walker Medical Diagnostics, LLC CurrentSince Dec 1, 2006 Accepting new patients
Steve D. Johnson M.D., P.C. Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Jerry V. Mosley M.D., P.C. Internal Medicine Past Accepting new patients

Locations

1450 Jones Dairy Rd
Bldg 4
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Bldg 6
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Ste 400
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Ste 600
Jasper, AL 35501
Phone (205) 295-4100

701 19th St E
Jasper, AL 35501
Phone (205) 221-1516

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1144338880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 7TH AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014583",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.