Individual provider Active NPI

Joseph Johnson, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1982054854
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016019473 Issued in MO
Practice address
3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone
(417) 269-8817
Fax
(417) 269-8744
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016019473 MO Primary

Addresses

Primary practice location

3800 S National Ave Ste 700
Springfield, MO 65807-5279

Mailing address

3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone (417) 269-8817

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171208002706 MO Practitioner - Family Practice 3173881661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3000

3800 S National Ave
Suite 700
Springfield, MO 65807-5279
Phone (417) 269-8817

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016019473MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association CurrentSince Sep 1, 2019 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Dec 1, 2017 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Dec 1, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 1, 2019 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 1, 2019 Accepting new patients
Skaggs Community Hospital Association Family Medicine Current Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Lester E Cox Medical Centers Family Medicine Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1423 N Jefferson Ave
Ste B
Springfield, MO 65802
Phone (417) 269-8817

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

1423 N Jefferson Ave
Ste B200
Springfield, MO 65802

Interoperability endpoints

  • Direct secure messaging: joseph.johnson.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 10

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 3

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1982054854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075279",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075279",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7128",
            "fax_number": "417-348-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016019473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.