NPIMap

Paula D Johnson, MD

Individual provider Active NPI Internal Medicine Physician · Springfield, KY

NPI 1457360398 · NPPES record last updated Feb 29, 2024

Key facts

NPI
1457360398
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
40698 (KY)
Practice address
6478 Loretto Rd
Springfield, KY 40069-9346
Phone
(253) 431-7011
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTD Network LLC (27 clinicians)

Practice addresses (Care Compare)

11605 Abercorn St
Suite 100
Savannah, GA 31419-1903
Phone (813) 807-3338

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240112001449 GA Practitioner - Internal Medicine 7214934520 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46686ALMDInternal Medicine Physician
96479GAMDInternal Medicine Physician
036.165323ILMDInternal Medicine Physician
01090638AINMDInternal Medicine Physician
40698KYMDInternal Medicine Physician
336937LAMDInternal Medicine Physician
32147MSMDInternal Medicine Physician
35C.000691OHMDInternal Medicine Physician
41884OKMDInternal Medicine Physician
68954TNMDInternal Medicine Physician
U5008TXMDInternal Medicine Physician
IMLC.MD.61456251WAMDInternal Medicine Physician
3138-320WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC Current
since Dec 1, 2023		 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients

Locations

11605 Abercorn St
Savannah, GA 31419
Phone (615) 619-2585

Interoperability endpoints

  • Direct secure messaging: paulajohnson@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: pjohnson274774@direct.stlukeshealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.165323 IL
Internal Medicine Physician 207R00000X 46686 AL
Internal Medicine Physician 207R00000X 96479 GA
Internal Medicine Physician 207R00000X 68954 TN
Internal Medicine Physician 207R00000X 3138-320 WI
Internal Medicine Physician 207R00000X U5008 TX
Internal Medicine Physician 207R00000X IMLC.MD.61456251 WA
Internal Medicine Physician 207R00000X 35C.000691 OH
Internal Medicine Physician 207R00000X 41884 OK
Internal Medicine Physician 207R00000X 01090638A IN
Internal Medicine Physician 207R00000X 336937 LA
Internal Medicine Physician 207R00000X 32147 MS
Internal Medicine Physician 207R00000X 40698 KY Yes

Addresses

Primary practice location

6478 Loretto Rd
Springfield, KY 40069-9346

Mailing address

6478 Loretto Rd
Springfield, KY 40069-9346
Phone (253) 431-7011

Other names

  • Paula M Dix Dennerlein Former name

Other providers in Springfield, KY

All providers in Springfield, KY · Internal Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.