Eric Charles Johnson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00014861 Issued in AL

Practice address

610 Providence Park Drive E Ste 102
Mobile, AL 36695-4618

Phone

(251) 639-5070

Fax

(251) 634-2994

NPI assigned

Jul 31, 2006

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saad Healthcare Home health agency, Mobile, AL, CCN 017025
• Springhill Home Health and Hospice Home health agency, Mobile, AL, CCN 017066
• Infirmary Homecare Home health agency, Mobile, AL, CCN 017035
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
• Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.johnson.1@16253.direct.athenahealth.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.

• USA Health Community Providers LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801571823
  Medicare reassignment Care Compare group NPD
• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514

  Family Medicine

  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homechoice of Alabama, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Mobile, AL
  • NPI 1689625865
  Care Compare affiliation
• Infirmary Home Health Agency, Inc.

  dba Infirmary HomeCare

  • Home Health Agency
  • Mobile, AL
  • NPI 1710929294
  Care Compare affiliation
• Saad Enterprises, Inc.

  dba Saad Family Care

  • Home Health Agency
  • Mobile, AL
  • NPI 1265718969
  Care Compare affiliation
• Springhill Hospitals, Inc

  dba Springhill Memorial Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1902812803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DRIVE E STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954618",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DRIVE E STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954618",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083795",
            "country_code": "US",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00014861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093043",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Johnson, BCBA
• Dana Michelle Johnson, NP
• Debra Lynn Johnson, RT(T)
• Denesha Johnson, CRNP
• Donald E. Johnson, CRNA
• Fred Thomas Johnson, DMD
• George Michael Johnson Jr., D.P.M.
• Jared M Johnson, DO
• Jarica Johnson, AGNP-C
• Jasmine Johnson, PHARMD

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
• 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.