Jamie L Johnson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-118761 Issued in AL

Practice address

100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200

Phone

(334) 684-8905

Fax

(334) 684-8908

NPI assigned

Jul 6, 2018

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Geneva, AL, CCN 017048
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHFGBD
• Direct secure messaging: jamie.johnson@sarha.eclinicaldirectplus.com

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.

• Southeast Alabama Rural Health Associates

  dba Enterprise Children's Center & Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment Care Compare group NPD
• Southeast Alabama Rural Health Associates

  dba Slocomb Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Slocomb, AL
  • NPI 1023290608
  NPD
• Southeast Alabama Rural Health Associates

  dba Andalusia Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Southeast Alabama Rural Health Associates

  dba Dozier Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Dozier, AL
  • NPI 1063573301
  NPD (past)

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

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Mid-South Home Health Agency, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Geneva, AL
  • NPI 1457380172
  Care Compare affiliation

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1184110850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAKE PROFESSIONAL PARK STE 3",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401200",
            "telephone_number": "334-684-8905",
            "fax_number": "334-684-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-118761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280895",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Harris
• Gracie Harrison
• Thomas Hayes Henig, RPH
• Shelley Marie Hunsucker, OTR
• John F. Simmons M.D. P.C
• Sharon Jo Jones, L.C.S.W
• Jane Knowles, ALC
• Kurt Destin Kraft, MD
• Jon Patrick Lamb, M.D.
• Lighthouse Counseling, LLC

• Family Medicine Physician in Geneva, AL
• Providers in Geneva, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.
• 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.

Verify at the official NPI Registry.