Gordon Mack Johnson IV, APRN/CRNA/FNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9231283 Issued in FL

Practice address

1834 SW 1St Ave Ste 201
Ocala, FL 34471-8102

Phone

(352) 732-9888

NPI assigned

Jun 13, 2013

Last updated

May 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Nature Coast Anesthesia Providers, P.a.

  • Certified Registered Nurse Anesthetist
  • Mount Dora, FL
  • NPI 1578557104

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Solace Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, FL
  • NPI 1962046151

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Guide Anesthesia FL LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1073408514
  Medicare reassignment
• Somnicare Anesthesia & Spine Intervention Specialist, Inc

  dba Spine Intervention Specialists, Inc

  • Interventional Pain Medicine Physician
  • Lady Lake, FL
  • NPI 1962712794
  Medicare reassignment
• Express Primary Care of Ocala

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1891565826
  Authorized official Same address or phone
• Advanced Surgery Center of Oxford

  • Ambulatory Surgical Clinic/Center
  • Oxford, FL
  • NPI 1033760723
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1528406444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918025",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328918025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718102",
            "telephone_number": "352-732-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GORDON",
        "middle_name": "MACK",
        "name_suffix": "IV",
        "credential": "APRN/CRNA/FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9231283",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9231283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008994000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Johnson
• Cynthia Elaine Johnson
• Emmaline Grace Johnson, MD
• Erica Johnson
• Eulalaee Johnson, MS
• Janea Casey Johnson, CNA
• Jaylann Johnson
• Juliet Johnson
• Kimberly Marie Johnson, MD
• Korina Johnson, RPH

• Certified Registered Nurse Anesthetist in Ocala, FL
• Providers in Ocala, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.