Active NPI
Richard Scott Johnson, MD
- Emergency Medicine Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18112
- Practice address
- 215 Marion Ave
McComb, MS 39648-2705 - Phone
- (601) 249-1382
- Fax
- (601) 249-1751
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18112 | MS | Primary |
Addresses
Primary practice location
215 Marion Ave
McComb, MS 39648-2705
Mailing address
PO Box 490
McComb, MS 39649-0490
Phone (769) 231-7371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01886827 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600
215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1382
Hospital & facility affiliations
- Southwest Ms Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18112 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Mississippi Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| King'S Daughters Medical Center | Current | Accepting new patients | |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Jackson HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Mississippi Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Hancock Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Southwest Mississippi Regional Medical Center | Current | Accepting new patients | |
| Natchez HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| App of Mississippi Ed, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- gru4552@yourcarecommunity.org
- rjohnson5310300@direct.casso.us.com
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
-
- Obstetrics & Gynecology Physician
- McComb, MS
- NPI 1982174488
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1619081346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490490",
"telephone_number": "769-231-7371",
"fax_number": "601-250-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482705",
"telephone_number": "601-249-1382",
"fax_number": "601-249-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "18112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01886827",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- 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.