James W Johnson Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD0000011485 Issued in TN

Practice address

5180 Park Ave
Suite 250
Memphis, TN 38119

Phone

(901) 753-3766

Fax

(901) 759-1184

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coffee County Physician Group PC

  • Emergency Medicine Physician
  • Manchester, TN
  • NPI 1437164878

  MS

  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Women's and Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment NPD
• Yazoo Emergency Group, LLC

  • Emergency Medicine Physician
  • Yazoo City, MS
  • NPI 1447806914
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Family and Specialty Clinic

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1366905028
  NPD
• Wellness First Inc

  • Non-Pharmacy Dispensing Site
  • Memphis, TN
  • NPI 1528125911
  NPD (past)
• Edward Kofi Lartevi MD PMC

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1891968327
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1366491102
  NPD (past)
• Northwest Cardiovascular and Thoracic Surgeons PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sun City, AZ
  • NPI 1336159185
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1295753762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772193",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38177",
            "telephone_number": "901-761-9901",
            "fax_number": "901-761-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 PARK AVE",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-753-3766",
            "fax_number": "901-759-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "MD0000011485",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MS",
            "license": "17134",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000011485",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "17134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "00000027474",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNNESSEE",
            "identifier": "4073290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH PLAN",
            "identifier": "000000145000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2621395",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3888243",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124492",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00180320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015804",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Thomas Johnson, PA-C
• J Johnson, M.S.,CCC-SLP
• Jacob Charles Johnson, PHARMD
• James Andrew Johnson, PHARMD
• James David Johnson, LPC
• Jamie Alicia Johnson, PHARMD.
• Janesha Lanez Johnson
• Janet Elizabeth Johnson, PTA
• Jannita N Johnson
• Jason Nathaniel Johnson, M.D.

• General Practice Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.