Mary E Johnsten, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-393 Issued in AL

Practice address

411 N Section St
Fairhope, AL 36532

Phone

(251) 660-3470

Fax

(251) 660-3471

NPI assigned

Jul 13, 2006

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Female

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 3

Other names 1

• Ms. Mary E Hoffmann Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Gmuc of Saraland

  • Family Medicine Physician
  • Saraland, AL
  • NPI 1396161758
  Medicare reassignment Care Compare group
• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment
• Baldwin Emergency Physicians, P.C..

  • Emergency Medicine Physician
  • Fairhope, AL
  • NPI 1154378271
  Medicare reassignment
• Gmuc of Citronelle LLC

  • Family Medicine Physician
  • Citronelle, AL
  • NPI 1164794343
  Medicare reassignment
• Gmuc of Springhill LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952617508
  Medicare reassignment
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801063938
  Medicare reassignment
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916
  Medicare reassignment
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Semmes, AL
  • NPI 1275848095
  NPD
• Mobile Emergency Group PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1932166287
  NPD (past)
• Thoracic Cardiac & Vascular Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Birmingham, AL
  • NPI 1164432852
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1700801370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 KUMQUAT ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321246",
            "telephone_number": "251-581-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-660-3470",
            "fax_number": "251-660-3471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Kumquat St",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321246",
            "country_code": "US",
            "telephone_number": "251-581-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5621 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366094210",
            "country_code": "US",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366958345",
            "country_code": "US",
            "telephone_number": "251-544-5420",
            "fax_number": "251-544-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 CM Rambo Dr",
            "address_purpose": "LOCATION",
            "city": "Saraland",
            "state": "AL",
            "postal_code": "365712147",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 Moffett Rd",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365755406",
            "country_code": "US",
            "telephone_number": "251-645-8946",
            "fax_number": "251-645-8976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Rangeline Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199504",
            "country_code": "US",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19140 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Citronelle",
            "state": "AL",
            "postal_code": "365222306",
            "country_code": "US",
            "telephone_number": "251-866-0086",
            "fax_number": "251-866-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9971 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366089525",
            "country_code": "US",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6908 Providence Park Dr S",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954600",
            "country_code": "US",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTEN",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008087700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 1720 CENTER ST",
            "identifier": "51593935",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - 575 STANTON RD",
            "identifier": "51593844",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOFFMANN",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Elaine Johnson, LCSW
• Kristi Johnson, PT
• Leigh Ann Johnson, LCSW, LICSW
• Natalie Harris Johnson
• Randa Day Johnson, OTR/L
• Angela Jones
• Carole S. Jones, CRNA
• Dena Jones, CRNA
• Miles F. Jones, D.M.D.
• Nicole Harris Jones, LMT

• Medical Physician Assistant in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.