Gerald Allen Johnson, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1256 Issued in AL

Practice address

8103 Highway 72 W Ste B
Madison, AL 35758-9529

Phone

(256) 461-0300

Fax

(256) 864-8470

NPI assigned

Jan 18, 2007

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

State licenses

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

• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396897252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 HIGHWAY 72 W STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589529",
            "telephone_number": "256-461-0300",
            "fax_number": "256-864-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 HIGHWAY 72 W STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589529",
            "telephone_number": "256-461-0300",
            "fax_number": "256-864-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GERALD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "515-12982",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Langston Johnson, DPT
• Angel Shaniece Johnson, LPC
• Angela Johnson, LPC,NCC,IQCI
• Ariana Lee Johnson, DNP, CRNA
• Faith Denise Johnson, CRNP
• Hannah Johnson, AUD
• Jennifer Trimble Johnson, LICSW
• Michayla Johnson
• Miles Tyler Johnson, DDS
• Patrick Louis Johnson

• Sports Physician Chiropractor in Madison, AL
• Providers in Madison, AL by specialty
• Sports Physician Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.