Individual provider Active NPI

Miles McHaney Johnson, M.D.

  • Electrodiagnostic Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1811928013
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
License
E0060 Issued in AR
Practice address
2820 E Millennium PL
Suite 1
Fayetteville, AR 72703-6514
Phone
(479) 251-8055
Fax
(479) 251-1511
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E-0060 AR
Electrodiagnostic Medicine Physician 204R00000X E0060 AR Primary
Physical Medicine & Rehabilitation Physician 208100000X E0060 AR

Addresses

Primary practice location

2820 E Millennium PL
Suite 1
Fayetteville, AR 72703-6514

Mailing address

PO Box 9450
Fayetteville, AR 72703-0025
Phone (479) 251-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20051110000975 AR Practitioner - Physical Medicine and Rehabilitation 4981648458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical Branch at Galveston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miles M Johnson MD PAGroup PAC ID 4082788500, 2 clinicians

Practice addresses (Care Compare)

1504 SE 28TH St
Northwest Arkansas Emg Clinic
Bentonville, AR 72712-3988
Phone (479) 251-8055

2820 E Millenium PL
Fayetteville, AR 72703-6514
Phone (479) 251-8055

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0060ARMDElectrodiagnostic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miles M Johnson, M.D. P.a. Physical Medicine & Rehabilitation CurrentSince Feb 18, 2000 Accepting new patients
BMG Family Physicians Group Foundation, Inc PastSince Aug 1, 2020 Accepting new patients
Tyler Estes, MD, PLLC Electrodiagnostic Medicine PastSince Nov 24, 2025 Accepting new patients
Orthopedic Institute, PA Past Accepting new patients
Family Physicians Group PC Past Accepting new patients

Locations

1504 SE 28th St
Bentonville, AR 72712
Phone (479) 273-1111

350 E Millsap Rd
Fayetteville, AR 72703
Phone (479) 442-4495

2820 E Millennium Dr
#2
Fayetteville, AR 72703

2828 E Millennium Dr
Ste 2
Fayetteville, AR 72703
Phone (479) 582-1199

2820 E Millennium Dr
#1
Fayetteville, AR 72703

8101 McClure Dr
Ste 301
Fort Smith, AR 72916
Phone (479) 242-8300

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1811928013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9450",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030025",
            "telephone_number": "479-251-8055",
            "fax_number": "479-251-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E MILLENNIUM PL",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036514",
            "telephone_number": "479-251-8055",
            "fax_number": "479-251-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MILES",
        "middle_name": "MCHANEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E-0060",
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "AR",
            "license": "E0060",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E0060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.