Bobbie Kay Johnson, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903335 Issued in MS

Practice address

1504 Hospital St
Greenville, MS 38703-3219

Phone

(662) 378-9929

NPI assigned

May 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobbie.johnson.p1@direct.deltahc.nextgenshare.com

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.

• Greenwood Leflore Hospital

  dba Hospitalists

  • Hospitalist Physician
  • Greenwood, MS
  • NPI 1720048440
  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1326655986

  MS

  Medicare reassignment
• Delta Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Mound Bayou, MS
  • NPI 1659378610
  NPD
• Delta Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, MS
  • NPI 1508057076
  NPD
• Delta Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mayersville, MS
  • NPI 1689041063
  NPD (past)
• Greenwood Leflore Hospital

  dba North Central Ms Specialty Clinic

  • Gastroenterology Physician
  • Greenwood, MS
  • NPI 1689633950
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1861050437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387480461",
            "telephone_number": "662-820-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HOSPITAL ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033219",
            "telephone_number": "662-378-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BOBBIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Jernigan, NP
• Stephen Ross Jernigan, PT
• Terry Lynn Joel
• John M Portera DPM LTD
• Quartrina Johnson-Lovett, MSOT, OTR/L, OTD
• Chara Mashae Johnson
• Jennifer Denise Johnson, REGISTERED NURSE
• Kenicha Monta Johnson, CNA
• Lakinya Sarrell Johnson
• Ashela Jones

• Family Nurse Practitioner in Greenville, MS
• Providers in Greenville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.