Individual provider Active NPI

Coty Phillips Johnson, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1972120608
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140767 Issued in AL
Practice address
1508 S Broad St Ste 200
Scottsboro, AL 35768-2668
Phone
(256) 259-3778
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140767 AL Primary

Addresses

Primary practice location

1508 S Broad St Ste 200
Scottsboro, AL 35768-2668

Mailing address

1508 S Broad St Ste 200
Scottsboro, AL 35768-2668
Phone (256) 259-3778

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828003592 AL Practitioner - Nurse Practitioner 6305209065 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Care IncGroup PAC ID 7618103748, 56 clinicians

Practice addresses (Care Compare)

7216 Bailey Cove Rd SE
Suite a
Huntsville, AL 35802-2746
Phone (256) 513-9900

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-140767ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Professional Services CurrentSince Mar 1, 2024 Accepting new patients
Advantage Family Care Inc CurrentSince Jun 26, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Alabama, LLC CurrentSince Jul 1, 2024 Accepting new patients
Highlands Hospitalists Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Advantage Family Care, Inc. CurrentSince Jun 26, 2023 Accepting new patients
Scottsboro OB GYN Specialists LLC Current Accepting new patients
Scottsboro Quick Care Clinics,Inc PastSince Jul 5, 2020 Accepting new patients
Advantage Family Care, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

22175 US Highway 72
#B
Athens, AL 35613
Phone (256) 867-1325

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

14451 Highway 231 431 N
Ste 100
Hazel Green, AL 35750
Phone (256) 829-6025

7216 Bailey Cove Rd SE
Ste A
Huntsville, AL 35802
Phone (256) 513-9900

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

Organizations & group practices 8

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1972120608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 200",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 200",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS JOHNSON",
        "first_name": "COTY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.