Windell Lamont Johnson Sr., FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

124247 Issued in AR

Practice address

7500 Dollarway Rd Ste 301
White Hall, AR 71602-3084

Phone

(512) 201-6766

NPI assigned

Dec 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lee a. Davis, Jr, MD, PA

  • Cardiovascular Disease Physician
  • White Hall, AR
  • NPI 1659389278
  Medicare reassignment NPD
• Windell Johnson, P. a.

  • Family Nurse Practitioner
  • White Hall, AR
  • NPI 1881204758
  Medicare reassignment NPD
• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480
  Medicare reassignment
• Abdul Ezeldin M.D. P.a.

  • Specialist
  • Pine Bluff, AR
  • NPI 1164709036
  NPD
• John E Harris MD PA

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1033380308
  NPD (past)

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

• Jefferson Hospital Association Inc

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1245877224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 TOLTEC DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721164586",
            "telephone_number": "512-201-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 301",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023084",
            "telephone_number": "512-201-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WINDELL",
        "middle_name": "LAMONT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "124247",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "124247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Regional Homecare, LLC
• Jefferson Regional Rehabilitation and Behavioral Hospital LLC
• Jefferson Regional Rehabilitation and Behavioral Hospital LLC
• Makesha Monique Jefferson, PTA
• Kentrel Johnson, LAC
• Carrie Jones, MHPP
• Doris Jones
• Laquilla Jones, LMSW
• Raymond Floyd Jones, OD
• Tanita Jones, LMSW

• Primary Care Nurse Practitioner in White Hall, AR
• Providers in White Hall, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.