Julia Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903469 Issued in MS

Practice address

50 Veterans Memorial Dr
Kosciusko, MS 39090-3424

Phone

(662) 663-4216

Fax

(662) 663-4217

NPI assigned

Jan 8, 2020

Last updated

Jan 8, 2020By the provider in NPPES

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

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyler Holmes Memorial HospitalGroup PAC ID 0345142618, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Tyler Holmes Memorial Hospital

  • Critical Access Hospital
  • Winona, MS
  • NPI 1205868627
  Medicare reassignment NPD
• Tyler Holmes Memorial Hospital

  dba Winona Fmaily Practice

  • Rural Health Clinic/Center
  • Winona, MS
  • NPI 1285649855
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Tyler Holmes Memorial Hospital

  dba Tyler Holmes Kilmichael Clinic

  • Family Nurse Practitioner
  • Kilmichael, MS
  • NPI 1346084985
  NPD
• Tyler Holmes Memorial Hospital

  dba Tyler Holmes Carrollton Clinic

  • Rural Health Clinic/Center
  • North Carrollton, MS
  • NPI 1548883481
  NPD (past)

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

• Tyler Holmes Memorial Hospital

  • Critical Access Hospital
  • Winona, MS
  • NPI 1205868627
  Care Compare affiliation

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1700426707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROLLING GREEN CIR",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389679508",
            "telephone_number": "662-230-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VETERANS MEMORIAL DR",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903424",
            "telephone_number": "662-663-4216",
            "fax_number": "662-663-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Community Outreach Center
• Imani Community Outreach Ctr
• Imani Community Outreach Ctr Inc
• Jackson Vamc
• James D. Neaves DDS PA
• Christopher Jones
• Ivory J Jones
• Latoya Jones
• Whitney Jones
• Kelly Kight

• Family Nurse Practitioner in Kosciusko, MS
• Providers in Kosciusko, 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 Jan 8, 2020; 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.