Active NPI
Johnnie Ayers, M.D.
- Family Medicine Physician
- Greenwood, IN
National Provider Identifier
1235186404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01025300A
- Practice address
- 996 S State Road 135
Greenwood, IN 46143-7365 - Phone
- (317) 893-3888
- Fax
- (317) 893-3818
- NPI assigned
- May 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01025300A | IN | |
| Family Medicine Physician | 207Q00000X | 01025300A | IN | Primary |
Addresses
Primary practice location
996 S State Road 135
Greenwood, IN 46143-7365
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1501 Hartford St
Lafayette, IN 47904-2134
Phone (765) 423-6011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100216880 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jayers@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025300A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Urgent Care Centers, LLC | Current | Accepting new patients | |
| Southside Emergency Associates | Past | Accepting new patients | |
| Indiana Emergency Solutions LLC | Emergency Medicine | Past | Accepting new patients |
| Indiana University Health Urgent Care Centers, LLC | Past | Accepting new patients |
Locations
996 S State Road 135
Greenwood, IN 46143
Phone (317) 893-3888
996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- jayers@direct.iuhealth.org
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 and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Greenwood, IN
- NPI 1689445280
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1255691424
-
- Urgent Care Clinic/Center
- Brownsburg, IN
- NPI 1114302965
-
- Personal Emergency Response Attendant
- Indianapolis, IN
- NPI 1053366922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1235186404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 S STATE ROAD 135",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437365",
"telephone_number": "317-893-3888",
"fax_number": "317-893-3818"
}
],
"practiceLocations": [
{
"address_1": "1501 Hartford St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042134",
"country_code": "US",
"telephone_number": "765-423-6011",
"fax_number": "765-502-4683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYERS",
"first_name": "JOHNNIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01025300A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01025300A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100216880",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jayers@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "996 S State Road 135",
"city": "Greenwood",
"state": "IN",
"country_code": "US",
"postal_code": "461437365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.