William Dwight Johnson, CFPMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R857199 Issued in MS

Practice address

613 Marquette Drive
Brandon, MS 39042

Phone

(601) 824-0342

Fax

(601) 824-0349

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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 MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Madison Rankin Simpson Mental HealthGroup PAC ID 4284671181, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Madison Rankin Simpson Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, MS
  • NPI 1063428761
  Medicare reassignment Care Compare group NPD
• Precise Clinical Neuroscience Specialists

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1770717449
  Medicare reassignment Care Compare group NPD
• Precise Psychopharmacology LLC

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1407053051
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669586996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39043",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 MARQUETTE DRIVE",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39042",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "CFPMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R857199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880504",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Lamare' Johnson, M.S.
• Allen Keith Johnson Jr., DPC, LPC-S
• Angele Kenney Johnson, PHD
• Elisa R. Johnson, MS, CAT
• Melissa Kyndel Johnson, CMHT
• Brian E. Johnston
• Sonia Johnston
• Claudia Francis Jones
• Emily Taff Jones
• Kyeosha S Jones

• Psychiatric/Mental Health Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.