Gregory Leigh Johnson, M.D.

Key facts

NPI

1437107331

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Cardiology Physician 2080P0202X

License

K0846 (TX)

Practice address

4314 Medical Pkwy
Suite 200
Austin, TX 78756-3334

Phone

(512) 454-1110

Fax

(512) 374-1354

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Dell Children'S Medical Group Pediatrics Physician · Austin, TX · NPI 1326072943
  Medicare reassignment Care Compare group NPD TX
• Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine Physician · Round Rock, TX · NPI 1083631071
  Medicare reassignment NPD PEDIATRIC CARDIOLOGY · TX
• Dell Children'S Medical Group Sleep Disorder Diagnostic Clinic/Center · Austin, TX · NPI 1124748249
  Care Compare group NPD

Hospital & facility affiliations 1

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

• Ascension Seton Children's Hospital · Austin, TX · NPI 1447355771
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Pediatric Medicine

Education

Creighton University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dell Childrens Medical Group (117 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dell Children'S Medical Center Hospital · Austin, TX · CCN 453310

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.johnsonmd.p105@direct.mednax.nextgenshare.com
• Direct secure messaging: gregory.johnson.1@8363.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437107331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-454-1110",
            "fax_number": "512-374-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563334",
            "telephone_number": "512-454-1110",
            "fax_number": "512-374-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "K0846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137308612",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

• Emily Johnson
• Erin Johnson, CPNP
• Evan Johnson, DC
• Evan Johnson
• Felicia Ann Johnson
• Haley Johnson
• Heather Blythe Johnson, COTA/L
• Jasmine Deshay Johnson
• Jason Dean Johnson, MD
• Jeffrey L Johnson, MD

All providers in Austin, TX · Pediatric Cardiology Physician in Texas