Active NPI
Susan G Johns, M.D.
- Family Medicine Physician
- Shepherdsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27734
- Practice address
- 115 Huston Dr
Suite 1
Shepherdsville, KY 40165-7250 - Phone
- (502) 955-7311
- Fax
- (502) 955-9694
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27734 | KY | Primary |
Addresses
Primary practice location
115 Huston Dr
Suite 1
Shepherdsville, KY 40165-7250
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 272-5100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000052154C | Other | HUMANA / NMA | |
| 2435117000 | Other | PASSPORT ADVANTAGE / NMA | |
| 2138920002 | Other | CIGNA / NMA | |
| P00181542 | Other | KY | RAILROAD MEDICARE |
| 000000350680 | Other | ANTHEM / NMA | |
| 1193978 | Other | CHA / NMA | |
| 012906 | Other | SIHO / NMA | |
| 1073671 | Other | PASSPORT / NMA | |
| 64277346 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10798 Dixie Hwy
Louisville, KY 40272-4302
Phone (502) 588-9490
1321 Herr LN
Suite 195
Louisville, KY 40222-4385
Phone (502) 423-7911
2051 Clevidence Blvd
Suite a
Clarksville, IN 47129-2278
Phone (812) 282-1720
7926 Preston Hwy
Louisville, KY 40219-3848
825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165
9880 Angies Way
Suite 160
Louisville, KY 40241-2851
Phone (502) 423-9595
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595
115 Huston Dr
Ste 1
Shepherdsville, KY 40165
Phone (502) 955-7311
Interoperability endpoints
- sjohns5409@direct.nortonhealthcare.org
Organizations & group practices 4
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.
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- NPI 1306983762
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- Family Medicine Physician
- Louisville, KY
- NPI 1467818450
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1407811771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-272-5100",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HUSTON DR",
"address_2": "SUITE 1",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401657250",
"telephone_number": "502-955-7311",
"fax_number": "502-955-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "SUSAN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "27734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA / NMA",
"identifier": "000052154C",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE / NMA",
"identifier": "2435117000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NMA",
"identifier": "2138920002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00181542",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / NMA",
"identifier": "000000350680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA / NMA",
"identifier": "1193978",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO / NMA",
"identifier": "012906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT / NMA",
"identifier": "1073671",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64277346",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.