Carole Lea Johnson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18456 Issued in AL

Practice address

1733 W Main St Ste 200
Dothan, AL 36301-1345

Phone

(334) 677-1690

Fax

(334) 699-1465

NPI assigned

Jan 17, 2006

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Specialty

Dermatology

Education

University of Kentucky College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: carole@cljderm.emadirect.md
• Direct secure messaging: llawless@cljderm.emadirect.md

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1386624419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 W MAIN ST STE 200",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011345",
            "telephone_number": "334-677-1690",
            "fax_number": "334-991-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W MAIN ST STE 200",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011345",
            "telephone_number": "334-677-1690",
            "fax_number": "334-699-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLE",
        "middle_name": "LEA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "18456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-42252",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llawless@cljderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "nurse",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1733 W Main St Ste 200",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363011345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjenkins1@cljderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "RMA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1733 W Main St Ste 200",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363011345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carole@cljderm.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1733 W Main St Ste 200",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363011345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Johnson, DPT
• Alto Lee Johnson III, CRNA
• Alyssa Johnson
• Brian E Johnson, CRNA
• Caitlin Elizabeth Johnson, RBT
• Debra H Johnson, PT
• Elizabeth A Johnson, CRNA
• Haley A. Johnson
• Jessica Marcella Johnson, MS, LPC
• Jordan Johnson, O.D.

• Dermatology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.