Individual provider Active NPI

Mary Margaret Johnson, DO

  • Family Medicine Physician
  • Troy, AL
National Provider Identifier
1356978563
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO.3336 Issued in AL
Practice address
801 S Franklin Dr
Troy, AL 36081-3838
Phone
(334) 566-9800
Fax
(334) 566-9867
NPI assigned
Mar 26, 2020
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.3336 AL Primary

Addresses

Primary practice location

801 S Franklin Dr
Troy, AL 36081-3838

Mailing address

801 S Franklin Dr
Troy, AL 36081-3838
Phone (334) 566-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230807003389 AL Practitioner - Family Practice 7416327762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Health Associates LLCGroup PAC ID 3476570912, 11 clinicians

Practice addresses (Care Compare)

801 S Franklin Dr
Troy, AL 36081-3838
Phone (334) 566-9800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.3336ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Health Associates LLC Family Medicine CurrentSince Dec 16, 2024 Accepting new patients

Locations

801 S Franklin Dr
Troy, AL 36081
Phone (334) 566-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19802/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.margaret.johnson.1@19802.direct.athenahealth.com

Organizations & group practices 1

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 6

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1356978563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S FRANKLIN DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813838",
            "telephone_number": "334-566-9800",
            "fax_number": "334-566-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY MARGARET",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.