NPIMap

Individual provider Active NPI

Temeka Lashon Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Flowood, MS
National Provider Identifier
1306947577
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17793 Issued in MS
Practice address
2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640
Phone
(601) 939-1600
Fax
(601) 939-1606
NPI assigned
Sep 26, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17793 MS Primary

Addresses

Primary practice location

2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640

Mailing address

2506 Lakeland Dr Ste 600
Flowood, MS 39232-7640
Phone (601) 939-1600

Other identifiers 2

IdentifierTypeStateIssuer
0126681MedicaidMS
17793OtherMSMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000698 MS Practitioner - Obstetrics/Gynecology 5799855284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Morehouse School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Women's Health, PLLCGroup PAC ID 2567497985, 40 clinicians
Lakeland Premier Women's Clinic PLLCGroup PAC ID 5193069060, 3 clinicians

Practice addresses (Care Compare)

2506 Lakeland Dr
Suite 600
Flowood, MS 39232-7640
Phone (601) 939-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Women's Health, PLLC CurrentSince Oct 2, 2023 Accepting new patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Memphis Pathology Laboratory Current Accepting new patients
Southern Women's Health, PLLC Obstetrics & Gynecology CurrentSince Oct 2, 2023 Accepting new patients
Lakeland Premier Women's Clinic PLLC CurrentSince Feb 13, 2019 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. Past Accepting new patients
River Oaks Hospital LLC Past Accepting new patients

Locations

2506 Lakeland Dr
Ste 600
Flowood, MS 39232
Phone (601) 420-0141

1020 River Oaks Dr
Ste 320
Jackson, MS 39232
Phone (601) 932-2664

2506 Lakeland Dr
Jackson, MS 39232

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

Interoperability endpoints

  • Direct secure messaging: temeka.johnson.1@28954.direct.athenahealth.com

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

Hospital & facility affiliations 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1306947577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-939-1600",
            "fax_number": "601-939-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LAKELAND DR STE 600",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327640",
            "telephone_number": "601-939-1600",
            "fax_number": "601-939-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TEMEKA",
        "middle_name": "LASHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "17793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126681",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "17793",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.