Richard Keith Johnson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19773 Issued in MS

Practice address

1023 Medical Center Pkwy Ste 311
Selma, AL 36701-7740

Phone

(334) 418-6652

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

General Surgery

Education

University of Mississippi School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vaughan Physician Practices, LLCGroup PAC ID 8123126851, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.johnson.1@19364.direct.athenahealth.com

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.

• Vaughan Physician Practices, LLC

  • Orthopaedic Surgery Physician
  • Selma, AL
  • NPI 1467599621
  Medicare reassignment Care Compare group NPD
• Vaughan Physician Practices LLC

  • Cardiovascular Disease Physician
  • Selma, AL
  • NPI 1346679248
  NPD (past)
• Vaughan Physician Practices LLC

  • Surgery Physician
  • Selma, AL
  • NPI 1881980589
  NPD (past)

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

• Vaughan Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Selma, AL
  • NPI 1871655993
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1669494175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 311",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017740",
            "telephone_number": "334-418-6652",
            "fax_number": "833-645-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY STE 311",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017740",
            "telephone_number": "334-418-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-02-02",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2006015220",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "19773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203735600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "209433",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "752753",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03826375",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irc-Scionhealth Selma LLC
• Jaleesa Jackson
• Jericho Family Counseling LLC
• Jerry Dillard MD
• Sankung Jobarteh, PHARM.D
• Joint Adjust
• Lashana Faye Jones, DIRECTOR
• Austin Jordan
• Ladonnaa Renee Jordon
• Joseph H Carstarphen

• Surgery Physician in Selma, AL
• Providers in Selma, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.