Amy Chapman Johnson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Lexington, MS
NPI 1770864381 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1770864381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R869698 (MS)
- Practice address
- 239 Bowling Green Rd
Lexington, MS 39095-5167 - Phone
- (662) 834-5339
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Systems Management, LLC
Medserve, PA
Practice addresses (Care Compare)
129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141
15481 Bowling Green Rd
Durant, MS 39063-3565
Phone (601) 206-0901
Hospital & facility affiliations
- Vitalcaring Group
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Holmes County Hospital and Clinics
- Greenwood Leflore Hospital
- Baptist Medical Center Attala
- Mississippi Baptist Medical Center
- University of Mississippi Med Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120905000662 | MS | Practitioner - Nurse Practitioner | 0547417073 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R869698 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medserve, PA | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current |
Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| University Physicians, PLLC | Past | Accepting new patients |
Locations
310 Emerald Dr
Columbus, MS 39702
Phone (662) 244-8823
15481 Bowling Green Rd
Durant, MS 39063
Phone (662) 653-4106
4540 Manhattan Rd
Jackson, MS 39206
Phone (601) 982-5505
2500 N State St
Ste 4200
Jackson, MS 39216
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
110 Tchula St
Lexington, MS 39095
Phone (662) 834-1855
56 Rockport Rd
Lexington, MS 39095
Phone (662) 834-3021
18295 Emory Rd
West, MS 39192
Phone (662) 834-1321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R869698 | MS | Yes |
Addresses
Primary practice location
239 Bowling Green Rd
Lexington, MS 39095-5167
Mailing address
2500 N State St
Cbo, Ste 4200
Jackson, MS 39216-0434
Phone (601) 984-6426
Other providers in Lexington, MS
- Isd Renal Inc
- Whitney Ivey
- Jackson Metro Dental LLC
- Jitney Pharmacies Incorporated
- John D. Whitehead
- Samuel Reid Lester
- Lexington Dental, PLLC
- Lexington Discount Pharmacy
- Lexington Manor Nursing Center LLC
- Lexington Manor Senior Care LLC
All providers in Lexington, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.