Individual provider Active NPI

Victor Ross Johnson, AUD

  • Audiologist
  • Opelika, AL
National Provider Identifier
1598936387
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1965 1St Ave
Opelika, AL 36801-5403
Phone
(334) 705-0012
Fax
(334) 705-0378
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1965 1St Ave
Opelika, AL 36801-5403

Mailing address

1965 1St Ave
Opelika, AL 36801-5403
Phone (334) 705-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000267 AL Practitioner - Qualified Audiologist 0547319436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Ear, Nose, and Throat, PCGroup PAC ID 0749217776, 10 clinicians

Practice addresses (Care Compare)

1965 1St Ave
Opelika, AL 36801-5403
Phone (334) 705-0012

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Ear, Nose, & Throat, PC CurrentSince Oct 1, 2008 Accepting new patients

Locations

1965 1st Ave
Opelika, AL 36801
Phone (334) 705-0012

Organizations & group practices 1

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1598936387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015403",
            "telephone_number": "334-705-0012",
            "fax_number": "334-705-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 1ST AVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015403",
            "telephone_number": "334-705-0012",
            "fax_number": "334-705-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTOR",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.