Organization Active NPI

Steve D. Johnson M.D., P.C.

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1982261095
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STEVE D. JOHNSON M.D., P.C.
Practice address
701 19TH St E
Jasper, AL 35501-5503
Phone
(205) 221-1516
Fax
(205) 387-9539
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Ms. Amanda Keeton
Title
Office Manager
Phone
(205) 221-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

701 19TH St E
Jasper, AL 35501-5503

Mailing address

701 19TH St E
Jasper, AL 35501-5503
Phone (205) 221-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000328 AL Part B Supplier - Clinic/Group Practice 9436112463 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1982261095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 19TH ST E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015503",
            "telephone_number": "205-221-1516",
            "fax_number": "205-387-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE D. JOHNSON M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-221-1516",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.