Individual provider Active NPI

Paula Baxter Johnson, M.D.

  • Pediatrics Physician
  • Vestavia, AL
National Provider Identifier
1477649143
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00024641 Issued in AL
Practice address
3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296
Phone
(205) 201-0801
Fax
(205) 776-7945
NPI assigned
Oct 4, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00024641 AL Primary

Addresses

Primary practice location

3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296

Mailing address

3735 Corporate Woods Dr Ste 105
Vestavia, AL 35242-2296
Phone (205) 201-0801

Other identifiers 2

IdentifierTypeStateIssuer
367936MedicaidAL
513-45481OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00024641ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Park Pediatrics Pediatrics Past Accepting new patients
Cahaba Medical Care Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paula.johnson.1@11347.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1477649143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 CORPORATE WOODS DR STE 105",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422296",
            "telephone_number": "205-201-0801",
            "fax_number": "205-776-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 CORPORATE WOODS DR STE 105",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422296",
            "telephone_number": "205-201-0801",
            "fax_number": "205-776-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "middle_name": "BAXTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00024641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367936",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "513-45481",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.