Individual provider Active NPI

Amos Charles Johnson, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1801805270
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AJ051658 Issued in MI
Practice address
29877 Telegraph Rd Ste 300
Southfield, MI 48034-7660
Phone
(248) 827-4322
Fax
(248) 827-7822
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AJ051658 MI Primary

Addresses

Primary practice location

29877 Telegraph Rd Ste 300
Southfield, MI 48034-7660

Mailing address

29877 Telegraph Rd Ste 300
Southfield, MI 48034-7660
Phone (248) 827-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000259 MI Practitioner - Internal Medicine 8325083876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29877 Telegraph Rd
Suite 300
Southfield, MI 48034-7660
Phone (248) 827-4322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AJ051658MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Hills Internal Medicine PC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

29877 Telegraph Rd
Ste 300
Southfield, MI 48034
Phone (248) 827-4322

26206 W 12 Mile Rd
Ste 200
Southfield, MI 48034
Phone (248) 327-6422

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1801805270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347660",
            "telephone_number": "248-827-4322",
            "fax_number": "248-827-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347660",
            "telephone_number": "248-827-4322",
            "fax_number": "248-827-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMOS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "AJ051658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.