Active NPI
Miles McHaney Johnson, M.D.
- Electrodiagnostic Medicine Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electrodiagnostic Medicine Physician
- License
- E0060
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0060 | AR | MD | Electrodiagnostic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miles M Johnson, M.D. P.a. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| BMG Family Physicians Group Foundation, Inc | Past | Accepting new patients | |
| Tyler Estes, MD, PLLC | Electrodiagnostic Medicine | Past | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
- NPI 1194717462
-
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
- NPI 1962597492
AR
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1831257930
-
- Electrodiagnostic Medicine Physician
- Fayetteville, AR
- NPI 1952261372
-
- Family Medicine Physician
- Memphis, TN
- NPI 1578804142
-
- Family Medicine Physician
- Memphis, TN
- NPI 1457344145
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.