Vernon Charles Johnson, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J0841 Issued in TX

Practice address

302 E Brockett St
Sherman, TX 75090-4932

Phone

(903) 893-1400

Fax

(903) 893-6090

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vernon C Johnson MD, PA

  • Clinical Child & Adolescent Psychologist
  • Sherman, TX
  • NPI 1487107694
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1639228992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E BROCKETT ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904932",
            "telephone_number": "903-893-1400",
            "fax_number": "903-893-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E BROCKETT ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904932",
            "telephone_number": "903-893-1400",
            "fax_number": "903-893-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Eldorado Pkwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750707891",
            "country_code": "US",
            "telephone_number": "972-733-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VERNON",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J0841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T08M",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100164380A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128802905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Jo Johnson, RN
• Katy Elizabeth Johnson, DPT
• Marie R Johnson, PA-C
• Mikayla Sue Johnson, DC
• Rebecca Lynne Johnson, RN
• Catherine Anne Johnston, LCSW
• Anna Jones, MS, CCC-SLP, BCS-SCF
• Ellisabeth M Jones, MT
• Gerald W Jones
• Katie Jones

• Child & Adolescent Psychiatry Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.