Jackie H Johnson Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

068744 Issued in GA

Practice address

216 Corder Rd
Warner Robins, GA 31088

Phone

(478) 923-5872

Fax

(478) 929-6266

NPI assigned

May 7, 2009

Last updated

May 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gayton Health Centre PCGroup PAC ID 9830142710, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bacon County Hospital Hospital, Alma, GA, CCN 111327

Merit-based Incentive Payment System (MIPS)

Final score

90.09 of 100Reported as group

Quality

90.67

Improvement activities

40

Cost

79.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhjohnson@eyesightassoc.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gayton Health Centre, PC

  dba DBA Eyesight Associates

  • Ophthalmology Physician
  • Warner Robins, GA
  • NPI 1801860796
  Medicare reassignment Care Compare group NPD
• John E Imhoff MD PC

  dba Imhoff Eye Center

  • Ophthalmology Physician
  • Brunswick, GA
  • NPI 1366540007
  Medicare reassignment NPD
• Macon Eye Surgery Center, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Macon, GA
  • NPI 1356497747

  Ophthalmology

  Medicare reassignment NPD
• Seaside Surgical, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Brunswick, GA
  • NPI 1780820381
  Medicare reassignment NPD
• Warner Robins Partners

  dba Eyesight's Laser and Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Warner Robins, GA
  • NPI 1235289448

  Ophthalmology

  Medicare reassignment NPD
• Coastal Eye Care LLC

  dba Coastal Eye Care

  • Optometrist
  • St Simons Island, GA
  • NPI 1609893650
  NPD (past)
• Gayton Health Centre, PC

  dba Eyesight Associates

  • Eyewear Supplier
  • Warner Robins, GA
  • NPI 1376516567
  NPD (past)
• Vidalia Eye Associates, Inc.

  • Ophthalmology Physician
  • Vidalia, GA
  • NPI 1568483899
  NPD (past)
• Florida Retina Institute James a Staman MD LLC

  dba Florida Retina Institute

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1447328026
  NPD (past)

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

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1679707541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6479",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31095",
            "telephone_number": "478-923-5872",
            "fax_number": "478-929-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CORDER RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-923-5872",
            "fax_number": "478-929-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153660",
            "country_code": "US",
            "telephone_number": "229-273-0435",
            "fax_number": "229-273-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACKIE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022302",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME114525",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "068744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134708A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Johnson
• Cristina Lanae Johnson
• Dametric Johnson
• Danielle Johnson, FNP-C
• Holly Johnson
• Jared Dean Johnson, LMSW
• Jerome Santos Johnson, DPT
• Jill Christine Johnson, CCC-SLP
• Kathy A Johnson, LPC
• Phlandra Johnson, LPC, NCC

• Ophthalmology Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.