Individual provider Active NPI

Courtenay Johnson, D.O.

  • Family Medicine Physician
  • Killeen, TX
National Provider Identifier
1659608099
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203449 Issued in VA
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000142 VA Practitioner - Family Practice 6608000765 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203449VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Oct 26, 2013 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Oct 26, 2013 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.

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

Verify at the official NPI Registry.