Jay Michael Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-B35-TA-733 Issued in AL

Practice address

1413 Rainbow Dr Ste 1
Gadsden, AL 35901-5392

Phone

(256) 543-8886

Fax

(256) 546-1094

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL, TX, PA, OH, WV, SC, LA8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Excel Eyecare LLCGroup PAC ID 3274073390, 6 clinicians

Dr. Michael Johnson and AssociatesGroup PAC ID 7618140708, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: jay.johnson.p11@direct.360care.nextgenshare.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.

• Dr. Michael Johnson & Associates

  • Optometrist
  • Gadsden, AL
  • NPI 1043596216
  Medicare reassignment Care Compare group NPD Authorized official
• Excel Eyecare, LLC

  • Optometrist
  • Elkins, WV
  • NPI 1396592382

  FL, LA, OH, PA, SC, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Quality of Life Health Services Inc

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment NPD
• Aria Eye Care, LLC

  • Optometrist
  • Omaha, NE
  • NPI 1437436599

  AL

  Medicare reassignment NPD
• Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  • Community Health Clinic/Center
  • Boaz, AL
  • NPI 1225089675
  NPD
• Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD
• Quality of Life Health Services, Inc

  • Community Health Clinic/Center
  • Anniston, AL
  • NPI 1568412666
  NPD
• Darrell S. Prestridge, DO, PC

  • Ophthalmology Physician
  • Pelham, AL
  • NPI 1508817198
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1225108103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BARRINGTON CIR",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362507205",
            "telephone_number": "256-892-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 RAINBOW DR STE 1",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015392",
            "telephone_number": "256-543-8886",
            "fax_number": "256-546-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Piedmont Cutoff",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359032805",
            "country_code": "US",
            "telephone_number": "256-543-8886",
            "fax_number": "256-546-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Piedmont Cutoff",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359032708",
            "country_code": "US",
            "telephone_number": "256-493-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S-B35-TA-733",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S-B35-TA-733",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B35-TA-733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jennings, MD
• Anna Ruth Jeter, M.D.
• Jennifer Johnson Crowder, CRNP
• Katelyn Johnson-Hughes
• Forrest Johnson Jr.
• Julie Ann Johnson, RN
• Kayla Michelle Johnson, RN
• Theresa Johnson, ALC, MS
• Jones Chiropractic Clinic, Inc
• Amanda Kori Jones Smith, ALC

• Optometrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.