Individual provider Active NPI

Alisa Barr Johnson, M.D.

  • Emergency Medicine Physician
  • Northport, AL
National Provider Identifier
1184668535
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18467 Issued in MS
Practice address
3909 McFarland Boulevard
Northport, AL 35476
Phone
(205) 333-1993
Fax
(205) 333-0782
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18467 MS Primary

Addresses

Primary practice location

3909 McFarland Boulevard
Northport, AL 35476

Mailing address

3909 McFarland Boulevard
Northport, AL 35476
Phone (205) 333-1993

Other identifiers 1

IdentifierTypeStateIssuer
07650330MedicaidMS

Other names 1

  • Alisa Carol Barr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041001000841 MS Practitioner - Emergency Medicine 9830168145 Reassigns benefits to 1 organization
I20060912000217 AL Practitioner - Emergency Medicine 9830168145 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Northwest Alabama Emergency Medicine LLC Emergency Medicine CurrentSince Aug 16, 2017 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jan 1, 2014 Accepting new patients
The DCH Healthcare Authority CurrentSince May 14, 2021 Accepting new patients
DCH Healthcare Authority Current Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince Feb 13, 2019 Accepting new patients
The DCH Health Care Authority CurrentSince May 14, 2021 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Aug 26, 2017 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine Past Accepting new patients
Medcenter Demopolis, LLC Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1184668535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BOULEVARD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BOULEVARD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "35476",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISA",
        "middle_name": "BARR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07650330",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "BARR",
            "middle_name": "CAROL",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.