Individual provider Active NPI

Mikayla Sue Johnson, DC

  • Chiropractor
  • Sherman, TX
National Provider Identifier
1750026613
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15160 Issued in TX
Practice address
2021 N Heritage Parkway
Sherman, TX 75092
Phone
(903) 892-3471
Fax
(903) 893-2745
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15160 TX Primary

Addresses

Primary practice location

2021 N Heritage Parkway
Sherman, TX 75092

Mailing address

3230 S Eisenhower Pkwy
Denison, TX 75020-7818
Phone (903) 465-1881

Other practice location 1

2540 King Arthur Blvd Ste 130
Lewisville, TX 75056-5922
Phone (972) 899-9737

Other practice location 2

3230 S Eisenhower Pkwy
Denison, TX 75020-7818
Phone (903) 465-1881

Other names 1

  • Mikayla Sue Medbery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815000276 TX Practitioner - Chiropractic 1052794617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan L. Knight, Inc.Group PAC ID 3779652698, 5 clinicians
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians

Practice addresses (Care Compare)

2021 N Heritage Pkwy
Sherman, TX 75092
Phone (903) 892-3471

3230 S Eisenhower Pkwy
Denison, TX 75020-7818
Phone (903) 465-1881

801 N Grand Ave
Gainesville, TX 76240-3573
Phone (940) 665-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15160TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Atchley Chiropractic Centers of Castle Hills, LLC Chiropractor CurrentSince May 1, 2022 Accepting new patients
Knight Family Chiropractic of Anna, LLC Chiropractor CurrentSince Nov 14, 2022 Accepting new patients
Ryan L. Knight, Inc. Chiropractor CurrentSince Aug 2, 2022 Accepting new patients
Knight Family Chiropractic of Sherman Chiropractor CurrentSince Apr 22, 2025 Accepting new patients
DCB Health, Inc PastSince May 1, 2022 Accepting new patients

Locations

1108 W White St
Ste 100
Anna, TX 75409
Phone (469) 840-4111

3230 S Eisenhower Pkwy
Denison, TX 75020
Phone (903) 465-1881

2540 King Arthur Blvd
Ste 130
Lewisville, TX 75056
Phone (972) 899-9737

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1750026613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N HERITAGE PARKWAY",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-892-3471",
            "fax_number": "903-893-2745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 King Arthur Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750565922",
            "country_code": "US",
            "telephone_number": "972-899-9737",
            "fax_number": "972-899-9738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 S Eisenhower Pkwy",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750207818",
            "country_code": "US",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIKAYLA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "MEDBERY",
            "middle_name": "SUE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.