Mary Ann Johnson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R688916 Issued in MS

Practice address

1883 Highway 43 S
Suite E
Canton, MS 39046-8405

Phone

(601) 407-1137

Fax

(601) 407-1137

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• U-First Medical Clinic

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1508942244
  Medicare reassignment NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1699851634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460283",
            "telephone_number": "601-405-4399",
            "fax_number": "601-405-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S",
            "address_2": "SUITE E",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468405",
            "telephone_number": "601-407-1137",
            "fax_number": "601-407-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R688916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124595",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janay L Harper DPM PLLC
• James Andrew Jefferson, MD
• Jennifer L Johnson, RN
• Lashonda Latrice Johnson
• Margaret Regenia Johnson, LCSW
• Relena Johnson
• Shelby Howard Johnson, M.S. PCMHT
• Timothy Terell Johnson, DDS
• Dailyn Johnston, SLP
• Jones Family Chiropractic PA

• Family Nurse Practitioner in Canton, MS
• Providers in Canton, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.