Individual provider Active NPI

Alan Gerald Johnson, M.D.

  • Emergency Medicine Physician
  • Maitland, FL
National Provider Identifier
1881077667
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD463371 Issued in PA
Practice address
850 Concourse Pkwy S Ste 200
Maitland, FL 32751-6145
Phone
(855) 479-4217
Fax
(888) 557-9724
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD463371 PA Primary

Addresses

Primary practice location

850 Concourse Pkwy S Ste 200
Maitland, FL 32751-6145

Mailing address

PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, NY, TX, AL, IL, MD, DC, TN, WI, CT, GA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20180620002373 PA Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 2 organizations
I20221027003316 FL Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 2 organizations
I20250102001148 NY Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250102003570 TX Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250113001199 AL Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250418001177 IL Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250421001922 MD Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250429000515 DC Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250512001649 TN Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250707000730 WI Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20250903004309 CT Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization
I20251111001303 GA Practitioner - Emergency Medicine 3678828332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Woundmd TN PLLCGroup PAC ID 3173961141, 5 clinicians
Personic Woundcare PLLCGroup PAC ID 4284090200, 3 clinicians
American Wound Care Al PLLCGroup PAC ID 9032554902, 7 clinicians
American Wound Care Medicine PLLCGroup PAC ID 6709237118, 5 clinicians
Personic Virtual Clinic LLCGroup PAC ID 8729496849, 10 clinicians
Premium Healthcare LLCGroup PAC ID 0547667966, 6 clinicians
Personic Health Care LLCGroup PAC ID 5294149381, 8 clinicians

Practice addresses (Care Compare)

11555 Medlock Bridge Rd
Suite 100
Johns Creek, GA 30097-3200
Phone (855) 479-4217

1452 Hughes Rd
Suite 200
Grapevine, TX 76051-9221
Phone (855) 479-4217

2 Maryland Farms Way
Suite 210
Brentwood, TN 37027-5007
Phone (615) 229-7202

324 Commons Dr
Suite 37
Birmingham, AL 35209-6962
Phone (855) 479-4217

3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone (410) 972-7056

6095 Marshalee Dr
Suite 130
Elkridge, MD 21075-6082
Phone (855) 479-4217

7611 Little River Tpke
Suite 101W
Annandale, VA 22003-2604

8000 Towers Crescent Dr
Suite 1352
Vienna, VA 22182-6207
Phone (571) 833-0330

8133 Leesburg Pike
Suite 630
Vienna, VA 22182-2730

888 Veterans Memorial Hwy
Suite 220
Hauppauge, NY 11788-2940
Phone (855) 479-4217

905 W Sproul Rd
Suite 106
Springfield, PA 19064-1254
Phone (855) 479-4217

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue740
Removal of skin lesions92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463371PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince May 6, 2024 Accepting new patients
Personic Wound Care Illinois PLLC CurrentSince Apr 16, 2025 Accepting new patients
Woundmd TN PLLC CurrentSince Apr 1, 2025 Accepting new patients
York Hospital CurrentSince Jul 2, 2018 Accepting new patients
Personic Health Care LLC CurrentSince Dec 1, 2024 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Woundmd Wi SC CurrentSince Jun 10, 2025 Accepting new patients
York Hospital CurrentSince Jul 2, 2018 Accepting new patients
Personic Virtual Clinic LLC CurrentSince Apr 15, 2025 Accepting new patients
Dr Jose a Rivera LLC CurrentSince Feb 28, 2024 Accepting new patients
Personic Woundcare PLLC CurrentSince Dec 1, 2024 Accepting new patients
American Wound Care Al, PLLC CurrentSince Oct 30, 2024 Accepting new patients
Personic Connecticut PLLC CurrentSince Aug 25, 2025 Accepting new patients
Premium Healthcare LLC CurrentSince Mar 20, 2025 Accepting new patients
York Hospital Current Accepting new patients
American Wound Care Medicine PLLC CurrentSince Dec 1, 2024 Accepting new patients
American Wound Care PC PastSince Apr 9, 2024 Accepting new patients

Locations

324 Commons Dr
Ste 37
Birmingham, AL 35209

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1 Reservoir Corporate Ctr
Ste 402
Shelton, CT 06484
Phone (203) 509-0936

100 W Citrus St
Altamonte Springs, FL 32714
Phone (407) 720-4253

850 Concourse Pkwy S
Ste 200
Maitland, FL 32751
Phone (407) 408-7569

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

4728 N Habana Ave
Ste 203
Tampa, FL 33614
Phone (323) 315-0491

11555 Medlock Bridge Rd
Ste 100
Johns Creek, GA 30097
Phone (678) 288-5448

433 W Van Buren St
Unit 555N
Chicago, IL 60607

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

6095 Marshalee Dr
Ste 130
Elkridge, MD 21075
Phone (410) 885-4727

3514 Mermaid Ave
Brooklyn, NY 11224
Phone (410) 972-7056

68 S Service Rd
Ste 100
Melville, NY 11747
Phone (516) 316-4689

905 W Sproul Rd
Ste 106
Springfield, PA 19064
Phone (215) 709-0254

200 W Sproul Rd
Springfield, PA 19064
Phone (215) 709-0254

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

1001 S George St
York, PA 17403
Phone (717) 812-7687

1 Harbison Way
Ste 222
Columbia, SC 29212

2 Maryland Farms
Ste 210
Brentwood, TN 37027
Phone (615) 229-7202

1452 Hughes Rd
Ste 200
Grapevine, TX 76051
Phone (817) 410-5721

7611 Little River Tpke
Ste 101W
Annandale, VA 22003
Phone (571) 556-9777

8000 Towers Crescent Dr
Fl 13
Vienna, VA 22182
Phone (240) 384-3442

900 Maple Ave E
Vienna, VA 22180
Phone (571) 833-0330

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Interoperability endpoints

  • Direct secure messaging: ajohnson159542@wellspan.direct-ci.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1881077667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CONCOURSE PKWY S STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516145",
            "telephone_number": "855-479-4217",
            "fax_number": "888-557-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALAN",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD463371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.