Individual provider Active NPI

Jeffrey A Johnson, D.O.

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1992723274
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO701 Issued in AL
Practice address
1201 Somerville Rd SE
North Alabama Internal Medicine,PC
Decatur, AL 35601-4340
Phone
(256) 350-1773
Fax
(256) 350-5520
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO701 AL Primary

Addresses

Primary practice location

1201 Somerville Rd SE
North Alabama Internal Medicine,PC
Decatur, AL 35601-4340

Mailing address

1201 Somerville Rd SE
North Alabama Internal Medicine,PC
Decatur, AL 35601-4340
Phone (256) 350-1773

Other identifiers 2

IdentifierTypeStateIssuer
51004703OtherALBLUE CROSS BLUE SHIELD
7446374OtherALAETNA

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
I20050208000687 AL Practitioner - Internal Medicine 1658333547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Somervill Rd SE
Decatur, AL 35601-4340

1201 Somerville Rd
Decatur, AL 35601-4340

1201 Somerville Rd SE
North Alabama Internal Medicine PC
Decatur, AL 35601-4340

1316 Somerville Rd SE
Suite 3
Decatur, AL 35601-4309
Phone (256) 350-1773

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Decatur Morgan Homecare Home health agency, Decatur, AL, CCN 017027
  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO701ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Morgan, LLC CurrentSince Jul 1, 2015 Accepting new patients
H H Health System-Morgan LLC CurrentSince Jul 1, 2015 Accepting new patients
North Alabama Internal Medicine,PC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Digestive Diseases Associates Past Accepting new patients
Scott a. Matthews, M.D., P.C. Internal Medicine Past Accepting new patients

Locations

1201 Somerville Rd SE
Decatur, AL 35601
Phone (256) 350-7887

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1316 Somerville Rd SE
Ste 3
Decatur, AL 35601
Phone (256) 260-7302

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJCDD/Endpoint/CGJCDD

Organizations & group practices 5

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 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1992723274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOMERVILLE RD SE",
            "address_2": "NORTH ALABAMA INTERNAL MEDICINE,PC",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014340",
            "telephone_number": "256-350-1773",
            "fax_number": "256-350-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOMERVILLE RD SE",
            "address_2": "NORTH ALABAMA INTERNAL MEDICINE,PC",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014340",
            "telephone_number": "256-350-1773",
            "fax_number": "256-350-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51004703",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7446374",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.