Individual provider Active NPI

Ernest Van Johnson, M.D.

  • Specialist
  • Tuscaloosa, AL
National Provider Identifier
1477578110
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11457 Issued in AL
Practice address
535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751
Phone
(205) 556-2121
Fax
(205) 554-0152
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11457 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751

Mailing address

535 Jack Warner Pkwy NE
Suite B-1
Tuscaloosa, AL 35404-5751
Phone (205) 556-2121

Other identifiers 1

IdentifierTypeStateIssuer
529202430MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110124001033 AL Practitioner - Ophthalmology 1355233867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Ophthalmology IncGroup PAC ID 4981627676, 5 clinicians

Practice addresses (Care Compare)

1716 Temple Ave N
Fayette, AL 35555-1309
Phone (205) 556-2121

535 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-5715
Phone (205) 242-8416

Hospital & facility affiliations

  • Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Merit-based Incentive Payment System (MIPS)

Final score
85.51 of 100Reported as group
Quality
96.39
Improvement activities
40
Cost
53.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11457ALMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Warrior Ophthalmology PC CurrentSince Aug 15, 2025 Accepting new patients
Tuscaloosa Ophthalmology, Inc. CurrentSince Jan 31, 1997 Accepting new patients

Locations

1716 Temple Ave N
Fayette, AL 35555
Phone (205) 556-2121

535 Jack Warner Pkwy NE
Ste B1
Tuscaloosa, AL 35404
Phone (205) 556-2121

Interoperability endpoints

  • Direct secure messaging: evj@tuscaloosaophthalmology.direct.eyemdemr.com
  • Direct secure messaging: evjohnson@blackwarrior.intellechartdirect.net

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.

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1477578110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE B-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE",
            "address_2": "SUITE B-1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-556-2121",
            "fax_number": "205-554-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERNEST",
        "middle_name": "VAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "11457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529202430",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.