Active NPI
Amy S. Johnson, M.D.
- Family Medicine Physician
- Pocomoke, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0058928
- Practice address
- 305 10TH St
Suite 101
Pocomoke, MD 21851-1607 - Phone
- (410) 957-3005
- Fax
- (410) 957-0550
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0058928 | MD | Primary |
Addresses
Primary practice location
305 10TH St
Suite 101
Pocomoke, MD 21851-1607
Mailing address
305 10TH St
Suite 101
Pocomoke, MD 21851-1607
Phone (410) 957-3005
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245973 | Other | VA | PROVIDER NO. |
| 61721001 | Other | MD | PROVIDER NO. |
| F094 0007 | Other | MD | PROVIDER NO. |
| 181482 | Other | MD | PROVIDER NO. |
| 877172 | Other | MD | PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 10TH St
Pocomoke City, MD 21851-1607
Phone (410) 957-3011
400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 41 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058928 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
305 10th St
Ste 101
Pocomoke City, MD 21851
Phone (410) 912-6167
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1104453208
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245292853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 10TH ST",
"address_2": "SUITE 101",
"city": "POCOMOKE",
"state": "MD",
"postal_code": "218511607",
"telephone_number": "410-957-3005",
"fax_number": "410-957-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 10TH ST",
"address_2": "SUITE 101",
"city": "POCOMOKE",
"state": "MD",
"postal_code": "218511607",
"telephone_number": "410-957-3005",
"fax_number": "410-957-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AMY",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0058928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NO.",
"identifier": "245973",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NO.",
"identifier": "61721001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NO.",
"identifier": "F094 0007",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NO.",
"identifier": "181482",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NO.",
"identifier": "877172",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocomoke, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.