Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285600437 Individual Practitioner Female Practitioner

Dr. Kimberly Susan Johnson , MD

Pediatrics • Tyndall Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Johnson, MD is a registered healthcare professional specializing in Pediatrics in Tyndall Afb, FL. Practice services are available at 340 MAGNOLIA CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 Magnolia Circle

Tyndall Afb, FL 324035612

Telephone 8502837678
Fax 8502837620

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tyndall Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tyndall Afb, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License LA 024311

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Patricia Smith , CFNP

Nurse Practitioner - Family

NPI 1053387548
Jae Pate , LCSW

Social Worker - Clinical

NPI 1356315600

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 324035612 (Tel: 8502837678)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1214 HUNTINGTON RIDGE RD, LYNN HAVEN, FL 324443189 (Tel: 8508147987)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIMBERLY JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #024311 in LA)

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Initial NPI Registration & Enumeration February 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285600437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1214 Huntington Ridge Rd

Lynn Haven, FL 324443189

Phone: 8508147987

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.