Active NPI
Sameerah Johnson, FNP
- Family Nurse Practitioner
- Ridgeland, MS
National Provider Identifier
1932079449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907766
- Practice address
- 408 Fontaine PL Ste 101
Ridgeland, MS 39157-5189 - Phone
- (769) 567-1321
- Fax
- (601) 510-9194
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907766 | MS | Primary |
Addresses
Primary practice location
408 Fontaine PL Ste 101
Ridgeland, MS 39157-5189
Mailing address
158 Woodland Springs Dr
Ridgeland, MS 39157-5047
Phone (601) 618-3732
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907766 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Integrative Medical Center | Past | 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.
-
- Health Service Clinic/Center
- Ridgeland, MS
- NPI 1235845892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1932079449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 WOODLAND SPRINGS DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575047",
"telephone_number": "601-618-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 FONTAINE PL STE 101",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391575189",
"telephone_number": "769-567-1321",
"fax_number": "601-510-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SAMEERAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.