Individual provider Active NPI

Michael R Johnson, M.D.

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1558477752
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME88411 Issued in FL
Practice address
6800 NW 9TH Blvd Ste 4
Gainesville, FL 32605-4253
Phone
(352) 332-0902
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 88411 FL
Psychiatry Physician 2084P0800X ME88411 FL Primary

Addresses

Primary practice location

6800 NW 9TH Blvd Ste 4
Gainesville, FL 32605-4253

Mailing address

529 NW 60TH St
Gainesville, FL 32607-2008
Phone (352) 331-5100

Other identifiers 1

IdentifierTypeStateIssuer
03008OtherFLBLUE CROSS / BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.JOHNSON@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041216000210 FL Practitioner - Psychiatry 1456318930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Yale University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Regional Psychiatry, LLCGroup PAC ID 1254550346, 7 clinicians

Practice addresses (Care Compare)

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

6800 NW 9TH Blvd
Suite 3
Gainesville, FL 32605-4257
Phone (352) 332-0902

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 88411FLMDSpecialist
ME88411FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Regional Psychiatry, LLC Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
The Ehs Medical Practice PA Specialist Past Accepting new patients

Locations

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6800 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 331-3300

6800 NW 9th Blvd
Ste 3
Gainesville, FL 32605
Phone (352) 332-0902

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.johnson@hca5.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1558477752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 NW 60TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072008",
            "telephone_number": "352-331-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 9TH BLVD STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054253",
            "telephone_number": "352-332-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 88411",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME88411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "03008",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.JOHNSON@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6800 NW 9th Blvd Ste 4",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326054253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.