North Alabama Internal Medicine,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO701 Issued in AL

Legal business name

NORTH ALABAMA INTERNAL MEDICINE,PC

Practice address

1201 Somerville Rd SE
Decatur, AL 35601-4340

Phone

(256) 350-1773

Fax

(256) 350-5520

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Allen Johnson, D.O.NPI 1992723274

Title

President

Phone

(256) 350-1773

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jeffrey A Johnson, D.O. Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGJCDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Johnson, D.O.

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1992723274

  AL, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1356437503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014340",
            "telephone_number": "256-350-1773",
            "fax_number": "256-350-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOMERVILLE RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014340",
            "telephone_number": "256-350-1773",
            "fax_number": "256-350-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA INTERNAL MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-350-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051004703",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7446374",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey A Johnson, D.O.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Spencer Norris
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• North Alabama Home Dialysis
• North Alabama Pain Services
• North Alabama Pain SVCS, LLC
• North Alabama Radiology
• North Alabama Rehabilitation and Pain Specialist LLC
• North Central Alabama Mental Retardation Authority, Inc.

• All providers in Decatur, AL
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.