NPIMap

Individual provider Active NPI

Johnny Miller McKenzie, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1669979985
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.38448 Issued in AL
Practice address
817 Princeton Ave SW Ste 106
Birmingham, AL 35211-1340
Phone
(205) 783-7663
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.38448 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW Ste 106
Birmingham, AL 35211-1340

Mailing address

155 Weatherly Way
Pelham, AL 35124-2801
Phone (601) 303-2358

Other practice location 1

245 Cahaba Valley Pkwy Ste 110
Pelham, AL 35124-2217
Phone (205) 663-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917002204 AL Practitioner - Internal Medicine 7719213156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Hospital & facility affiliations

  • Aveanna Hospice of Pelham Hospice, Pelham, AL, CCN 011607
  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38448ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 10, 2022 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Aug 1, 2021 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Aug 1, 2021 Accepting new patients
Comfort Care Hospice, LLC PastSince Feb 2, 2025 Accepting new patients
BBH SBMC, LLC Past Accepting new patients
Comfort Care Hospice, LLC Past Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1669979985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WEATHERLY WAY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242801",
            "telephone_number": "601-303-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111340",
            "telephone_number": "205-783-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Cahaba Valley Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242217",
            "country_code": "US",
            "telephone_number": "205-663-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JOHNNY",
        "middle_name": "MILLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.38448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.