Individual provider Active NPI

Jerry Lamar Johnston Jr., MD

  • Anesthesiology Physician
  • Monroe, LA
National Provider Identifier
1962865691
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
326872 Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(318) 966-4000
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 326872 LA Primary
Anesthesiology Physician 207L00000X E-13627 AR
Anesthesiology Physician 207L00000X 85513 SC

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

101 Catalpa St
Monroe, LA 71201-7418
Phone (318) 245-1863

Other practice location 1

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AR, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210625001700 SC Practitioner - Anesthesiology 0941592380 Reassigns benefits to 3 organizations
I20220818003628 AR Practitioner - Anesthesiology 0941592380 Reassigns benefits to 2 organizations
I20221104000100 LA Practitioner - Anesthesiology 0941592380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smso Anesthesia, LLCGroup PAC ID 7012970627, 49 clinicians
M Kneeland LLCGroup PAC ID 2264976331, 8 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760

2480 Hwy 33
Ruston, LA 71270-5093
Phone (318) 224-2404

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-13627ARMDAnesthesiology Physician
326872LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Kneeland LLC Anesthesiology CurrentSince Mar 2, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Ans Services of Arkansas PA Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Youngs Professional Services LLC CurrentSince Jul 18, 2022 Accepting new patients
Arkansas Health Group Anesthesiology CurrentSince Oct 30, 2023 Accepting new patients
Piedmont Physician Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Smso Anesthesia, LLC Anesthesiology CurrentSince Oct 17, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Anesthesiology CurrentSince Jun 10, 2021 Accepting new patients
Arkansas Health Group CurrentSince Oct 30, 2023 Accepting new patients
University Medical Associates CurrentSince Jun 10, 2021 Accepting new patients
York County Anesthesia Associates LLC Anesthesiology CurrentSince Jul 4, 2022 Accepting new patients
Endoscopy Center of Monroe PastSince Oct 8, 2023 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

101 Catalpa St
Monroe, LA 71201
Phone (318) 812-1761

2480 Highway 33
Ruston, LA 71270
Phone (318) 224-2404

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1962865691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CATALPA ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017418",
            "telephone_number": "318-245-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Towson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014921",
            "country_code": "US",
            "telephone_number": "479-441-4000",
            "fax_number": "479-441-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JERRY",
        "middle_name": "LAMAR",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "326872",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E-13627",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "85513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.