Individual provider Active NPI

Gina Elizabeth Johnson, M.D.

  • Dermatopathology (Pathology) Physician
  • Birmingham, AL
National Provider Identifier
1962760728
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD.65891 Issued in AL
Practice address
3550 Independence Dr
Birmingham, AL 35209-5710
Phone
(205) 949-2806
Fax
(205) 949-2810
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD.65891 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

3550 Independence Dr
Birmingham, AL 35209-5710

Mailing address

3560 Independence Drive
Birmingham, AL 35209-5722

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170718001191 AL Practitioner - Pathology 4284926718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Pathology Associates, LLCGroup PAC ID 9537395652, 5 clinicians

Practice addresses (Care Compare)

3550 Independence Dr
Suite 200
Birmingham, AL 35209-5710
Phone (205) 949-2800

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.65891ALMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Pathology Associates, LLC Dermatopathology CurrentSince Jul 1, 2017 Accepting new patients
Skin Pathology Associates, Inc Dermatopathology CurrentSince Aug 1, 2013 Accepting new patients

Locations

3560 Independence Dr
Birmingham, AL 35209

3550 Independence Dr
#200
Birmingham, AL 35209
Phone (205) 949-2800

3550 Independence Dr
Homewood, AL 35209
Phone (205) 949-2800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1962760728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 INDEPENDENCE DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-949-2806",
            "fax_number": "205-949-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GINA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "MD.65891",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.