Ronny Carl Johnson, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0008023 Issued in AL

Practice address

201 Sivley Rd SW
Suite 530
Huntsville, AL 35801-5134

Phone

(256) 265-7480

Fax

(256) 265-7481

NPI assigned

Jun 5, 2006

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 6

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

Vascular SurgeryAlso: General Surgery

Education

University of Mississippi School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quickcare Urgent LLCGroup PAC ID 9032342258, 12 clinicians

QC Wellness LLCGroup PAC ID 0547542995, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• QC Wellness, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1194274472

  AL

  Medicare reassignment Care Compare group NPD
• Quick Care Urgent, LLC

  • Urgent Care Clinic/Center
  • Huntsville, AL
  • NPI 1356764070

  AL

  Medicare reassignment Care Compare group NPD
• QC Pharmacy LLC

  • Community/Retail Pharmacy
  • Madison, AL
  • NPI 1942751847
  NPD (past)
• Quickcare RX LLC

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1326460874
  NPD (past)
• Tennessee Valley Vascular Consultants PC

  • Vascular Surgery Physician
  • Huntsville, AL
  • NPI 1780613059

  Vascular Surgery

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1922047018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 530",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-265-7480",
            "fax_number": "256-265-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW",
            "address_2": "SUITE 530",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015134",
            "telephone_number": "256-265-7480",
            "fax_number": "256-265-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONNY",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "0008023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004070317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51514734JOH",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051514734",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL",
            "identifier": "511-11829",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126131",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00000018",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikeya Johnson
• Mizani Johnson
• Morgan Johnson
• Pamela Delecia Johnson, LPN
• Roneisha Leshay Johnson
• Sandi Johnson, PHARMD
• Scott A Johnson
• Susan Johnson, RPH
• Valerie M Johnson, M.D.
• Kaitlyn Johnston

• All providers in Huntsville, AL
• Vascular Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.