Individual provider Active NPI

Johnny Washington Jr., MD

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1407007552
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME133343 Issued in FL
Practice address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone
(904) 383-1010
Fax
(904) 244-3457
NPI assigned
Oct 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 64298 GA
Orthopaedic Surgery Physician 207X00000X ME133343 FL Primary

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209-6511

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 383-1010

Other identifiers 16

IdentifierTypeStateIssuer
003150119LMedicaidGA
003150119DMedicaidGA
003150119IMedicaidGA
02427208OtherGAAMERIGROUP
003150119CMedicaidGA
003150119GMedicaidGA
003150119JMedicaidGA
1023416OtherWELLCARE
003150119EMedicaidGA
003150119HMedicaidGA
003150119KMedicaidGA
0532272OtherGACIGNA
003150119FMedicaidGA
202I208229OtherGAMEDICARE
003150119AMedicaidGA
003150119BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150120001302 GA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7416271580 Reassigns benefits to 2 organizations
I20170923000420 FL Practitioner - Orthopedic Surgery 7416271580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133343FLMDOrthopaedic Surgery Physician
64298GAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 23, 2016 Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 23, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Orthopaedic Surgery Current Accepting new patients
Tift Regional Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Tift Regional Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Mar 31, 2017 Accepting new patients
University of Florida Jacksonville Physicians Inc Orthopaedic Surgery CurrentSince Sep 4, 2017 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 4, 2017 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients

Locations

5191 First Coast Tech Pkwy
Jacksonville, FL 32224
Phone (904) 427-7399

15255 Max Leggett Pkwy
Ste 6600
Jacksonville, FL 32218
Phone (904) 383-1000

655 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-4202

5191 First Coast Tech Pkwy
Fl 2
Jacksonville, FL 32224
Phone (904) 427-7275

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

Interoperability endpoints

  • Direct secure messaging: jwashington252691@direct.shands.ufl.edu
  • Direct secure messaging: johnny.washington@hca5.eclinicaldirectplus.com
  • Direct secure messaging: johnny.washington.p48@direct.tenet.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407007552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-383-1010",
            "fax_number": "904-244-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-383-1010",
            "fax_number": "904-244-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JOHNNY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "64298",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME133343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119D",
            "state": "GA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "003150119I",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "02427208",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119C",
            "state": "GA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "003150119G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119J",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1023416",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119E",
            "state": "GA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "003150119H",
            "state": "GA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "003150119K",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0532272",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I208229",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150119B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.