Chrystal Dian Johnson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-3700 Issued in AR

Practice address

20602 Arch Street Pike
Hensley, AR 72065-9442

Phone

(501) 262-2602

Fax

(501) 891-5672

NPI assigned

Oct 17, 2006

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Chrystal Dian Jones Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chrystal.johnson@arcare.directbygreenway.com
• FHIR API: https://api.platform.athenahealth.com/21757/brand/1/csg/1/fhir/r4

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.

• H3 Doctors Group PLLC

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134057409
  NPD Authorized official
• Diagnostic Physicians of Arkansas, PA

  • Adult Medicine Physician
  • North Little Rock, AR
  • NPI 1265544373
  NPD (past)
• Jimmerson Family Health Care P.a.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1649496357
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1497836563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20602 ARCH STREET PIKE",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659442",
            "telephone_number": "501-262-2602",
            "fax_number": "501-891-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20602 ARCH STREET PIKE",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659442",
            "telephone_number": "501-262-2602",
            "fax_number": "501-891-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRYSTAL",
        "middle_name": "DIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-3700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1670460",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "04010017400",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150345001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5M652",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P000900296",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTAL",
            "last_name": "JONES",
            "middle_name": "DIAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin B Greene, PHARMD
• Lacey Michelle Hankins, APRN
• Kisa N. Horton, PTA
• Tabitha Krista House, MS, OTR/L
• Clayton Jenks, DPT
• Karmin Kidd
• Erin Elizabeth Lafreniere
• Sarah Suzanne Lunsford, O.D.
• Misha Mahmood
• Maple Creek Counseling

• Family Medicine Physician in Hensley, AR
• Providers in Hensley, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.