Active NPI
Courtenay Johnson, D.O.
- Family Medicine Physician
- Killeen, TX
National Provider Identifier
1659608099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102203449
- Practice address
- 5200 Bunny TRL
Killeen, TX 76549-6930 - Phone
- (254) 553-8110
- Fax
- (254) 553-1649
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203449 | VA | Primary |
Addresses
Primary practice location
5200 Bunny TRL
Killeen, TX 76549-6930
Mailing address
5200 Bunny TRL
Killeen, TX 76549-6930
Phone (254) 553-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102203449 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
Locations
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Family Medicine
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
Family Medicine
-
- Urgent Care Clinic/Center
- Culpeper, VA
- NPI 1699019984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1659608099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 BUNNY TRL",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496930",
"telephone_number": "254-553-8110",
"fax_number": "254-553-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 BUNNY TRL",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765496930",
"telephone_number": "254-553-8110",
"fax_number": "254-553-1649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "COURTENAY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102203449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.