Individual provider Active NPI

Richard Scott Johnson, MD

  • Emergency Medicine Physician
  • McComb, MS
National Provider Identifier
1619081346
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18112 Issued in MS
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

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01886827MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000214 MS Practitioner - Emergency Medicine 0648179150 Reassigns benefits to 9 organizations

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
Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians
Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, 82 clinicians

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 Hospital, McComb, MS, CCN 250097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18112MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 27, 2023 Accepting new patients
Southwest Mississippi Regional Medical Center Current Accepting new patients
King'S Daughters Medical Center CurrentSince Jan 7, 2023 Accepting new patients
Mississippi Physicians, LLP Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
King'S Daughters Medical Center CurrentSince Jan 7, 2023 Accepting new patients
Kings Daughters Medical Center Current Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Jackson HB Medical Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Mississippi Physicians LLP Emergency Medicine Current Accepting new patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince Mar 19, 2023 Accepting new patients
Southwest Mississippi Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Natchez HB Medical Services LLC Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
App of Mississippi Ed, LLC Emergency Medicine CurrentSince Jul 1, 2020 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

  • Direct secure messaging: gru4552@yourcarecommunity.org
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.