Evan Michael Johnson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO779 Issued in AL

Practice address

1180 Sardis Dr
Sardis City, AL 35956-2139

Phone

(256) 593-9999

Fax

(256) 593-9141

NPI assigned

Jul 17, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine of Sardis PCGroup PAC ID 5193709251, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Medical Centers Homecare Home health agency, Albertville, AL, CCN 017128
• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Family Medicine of Sardis PC

  • Family Medicine Physician
  • Sardis City, AL
  • NPI 1245398304
  Medicare reassignment Care Compare group NPD Authorized official

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

• Eh Health Home Health of Birmingham, LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• Medical Centers Homecare, LLC

  • Home Health Agency
  • Albertville, AL
  • NPI 1568645836
  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1659399772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572201",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SARDIS DR",
            "city": "SARDIS CITY",
            "state": "AL",
            "postal_code": "359562139",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROV. NUMBER",
            "identifier": "51521836",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tauret P. Burke, D.C.
• Crossville Chiropractic Health Center
• Family Medicine of Sardis PC
• Agustin Gilbert R Flores, MD
• Cherie L Keahey, CRNP
• Robert Lee McClendon Jr., RPH
• Protz Chiropractic Wellness Clinic, LLC
• Paul Andrew Protz Jr., D.C.
• Rebecca Louise Strunk, CRNP

• Family Medicine Physician in Sardis City, AL
• Providers in Sardis City, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.

Verify at the official NPI Registry.