Adria I Johnson, M.D., P.a.

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

ME0072622 Issued in FL

Legal business name

ADRIA I JOHNSON, M.D., P.A.

Practice address

6028 Bennett Rd
Jacksonville, FL 32216-5004

Phone

(904) 703-4539

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Adria Johnson, M.D.

Title

President

Phone

(904) 703-4539

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1295035970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550788",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322550788",
            "telephone_number": "904-703-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 BENNETT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165004",
            "telephone_number": "904-703-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIA I JOHNSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-703-4539",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME0072622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.