Johnny Creed Stewart, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2026013576 Issued in MO

Practice address

2829 S Jackson Ave
Joplin, MO 64804-2525

Phone

(417) 624-0440

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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 OK, MO2 enrollments

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 2

Specialty

Dermatology

Education

University of Oklahoma College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulsa Dermatology Clinic IncGroup PAC ID 7719079839, 8 clinicians

Dermatology and Skin Cancer Specialists LLCGroup PAC ID 5294721486, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.03 of 100Reported as individual

Quality

90.97

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Tulsa Dermatology Clinic Inc

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1194741561
  Medicare reassignment Care Compare group NPD
• Dermatology and Skin Cancer Specialists, LLC.

  • Dermatology Physician
  • Lees Summit, MO
  • NPI 1366632697
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1730157439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042525",
            "telephone_number": "417-624-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042525",
            "telephone_number": "417-624-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHNNY",
        "middle_name": "CREED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2026013576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Stevens, LMSW
• Braylin Stevens
• Corinne T. Stevens, NP
• Symantha L Stevens, NP
• Brandee Cathleen Stewart, DO
• Laura Anne-Swart Stewart, MD
• Stephanie D Stewart, RN, MSN, CPNP
• Camryn Grace Stickel
• Gretchen Rae Stiefel, D.O.
• Eric Stiegman, HIS

• Dermatology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.