Active NPI
Thad S Johnson
- Home Health Aide
- Dothan, AL
National Provider Identifier
1912615014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3101 Mockingbird Lane
Dothan, AL 36303 - Phone
- (334) 797-9349
- NPI assigned
- Nov 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | AL | Primary |
Addresses
Primary practice location
3101 Mockingbird Lane
Dothan, AL 36303
Mailing address
3101 Mockingbird Lane
Dothan, AL 36303
Phone (334) 797-9349
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thadjohnson@wiregrasshomecare.com | Direct | |
| Other URL | wiregrasshomecare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Homecare | Home Health Aide | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Aide
- Dothan, AL
- NPI 1811861610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1912615014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 MOCKINGBIRD LANE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-797-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 MOCKINGBIRD LANE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-797-9349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THAD",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thadjohnson@wiregrasshomecare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "3101 Mockingbird Lane",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "36303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wiregrasshomecare.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3101 Mockingbird Lane",
"city": "Dothan",
"state": "AL",
"country_code": "US",
"postal_code": "36303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.