Individual provider Active NPI

Erin Yvonne Johnson, M.D

  • Internal Medicine Physician
  • Lawrenceburg, KY
National Provider Identifier
1306079165
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45284 Issued in KY
Practice address
1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone
(502) 839-4091
Fax
(502) 839-9650
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45284 KY
General Practice Physician 208D00000X IP113 KY
General Practice Physician 208D00000X R2039 KY
Internal Medicine Physician 207R00000X 45284 KY Primary

Addresses

Primary practice location

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906

Other identifiers 1

IdentifierTypeStateIssuer
7100207660MedicaidKY

Other names 1

  • Dr. Erin Yvonne Willhoite Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000484 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2567610983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

1080 Glensboro Rd
Lawrenceburg, KY 40342-9033
Phone (502) 839-4091

Hospital & facility affiliations

  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Lexington, KY, CCN 187104
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
IP113KYMDGeneral Practice Physician
R2039KYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Kentucky Mso LLC Internal Medicine CurrentSince Jan 25, 2017 Accepting new patients
Kentucky Mso LLC Internal Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Kentucky Mso LLC CurrentSince Jan 25, 2017 Accepting new patients
Baptist Health Medical Group Inc Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

196 Bevins Ln
Ste F
Georgetown, KY 40324
Phone (502) 863-2818

1080 Glensboro Rd
Lawrenceburg, KY 40342
Phone (502) 839-4091

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1306079165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7906",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 GLENSBORO RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429033",
            "telephone_number": "502-839-4091",
            "fax_number": "502-839-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIN",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "45284",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "IP113",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "R2039",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100207660",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WILLHOITE",
            "middle_name": "YVONNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.