Hannah Amanda Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0007767 Issued in MD

Practice address

7642 Belair Rd
Nottingham, MD 21236-4088

Phone

(410) 665-3093

Fax

(410) 665-1975

NPI assigned

Nov 3, 2020

Last updated

Jan 21, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lauring Dermatology LLCGroup PAC ID 4082913710, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.07 of 100Reported as group

Quality

70.14

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lauring Dermatology LLC

  • Specialist
  • Nottingham, MD
  • NPI 1881059236
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1881295269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7642 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-665-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7642 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-665-3093",
            "fax_number": "410-665-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HANNAH",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAURING DERMATOLOGY LLC",
            "identifier": "1881059236",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "information@lauringdermatology.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "7642 Belair Rd",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212364088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "information@lauringdermatology.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "7642 Belair Rd",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212364088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "information@lauringdermatology.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "7642 Belair Rd",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212364088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "information@lauringdermatology.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "7642 Belair Rd",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212364088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physician Assistant in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.

Verify at the official NPI Registry.