Joseph Eugene Johnston, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

03605 Issued in MS

Practice address

603 S Main St
Mount Olive, MS 39119-8902

Phone

(601) 797-3405

Fax

(601) 797-9842

NPI assigned

Jun 10, 2005

Last updated

Mar 7, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Covington County Hospital

  dba Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1336447861
  NPD (past)
• Green Tree Family Medical Clinic

  • Rural Health Clinic/Center
  • Mount Olive, MS
  • NPI 1770741191
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922002567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "MOUNT OLIVE",
            "state": "MS",
            "postal_code": "391191107",
            "telephone_number": "601-797-3405",
            "fax_number": "601-797-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S MAIN ST",
            "city": "MOUNT OLIVE",
            "state": "MS",
            "postal_code": "391198902",
            "telephone_number": "601-797-3405",
            "fax_number": "601-797-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JOSEPH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "03605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015543",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Covington County Hospital (Green Tree Family Medical Clinic)
• Green Tree Family Medical Clinic
• Dayra Floridalma Gutierrez Deleon
• Alissa Hebert-Wallace, LCSW
• Integrity Therapeutic Community Services, LLC
• Robin L Johnston, MSP-CCC
• Word M Johnston, M.D.
• Jennifer Robin Leggett-Hudson, NP
• Charlie 6017655661 Morris
• Caroll D Pierce, DMD

• Family Medicine Physician in Mount Olive, MS
• Providers in Mount Olive, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.