Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013405778 Individual Practitioner Male Practitioner

Dr. Travis Johnson , MD

Pediatrics • West Liberty, KY

Professional Overview & Biography Verified Profile Summary

Dr. Travis Johnson, MD is a registered healthcare professional specializing in Pediatrics in West Liberty, KY. Practice services are available at 1219 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1219 W Main St

West Liberty, KY 414722161

Telephone 6067434808
Fax 6067434716
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in West Liberty, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
1 Specialists

Practicing in West Liberty, KY (910 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

CMS Verified: 2024-08-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License KY 55502

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100747240 (KY)

Secondary Practice Locations

1484 Lakeside Dr

Jackson, KY 413396555

Phone: 6066669950

Practice Associates & Co-Workers

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

3 Associated Practitioners
Tami Osborne , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1356851620

Advanced Practice Registered Nurse

Tracy Elam , LCSW

Social Worker - Clinical

NPI 1699957704

Licensed Clinical Social Worker

Sandra Mcclure , APRN

Nurse Practitioner - Family

NPI 1760849194

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 01, 2024

Registered at 1219 W MAIN ST, WEST LIBERTY, KY 414722161 (Tel: 6067434808)

📍
Updated Business Mailing Address August 01, 2024

Registered at PO BOX 690, BEATTYVILLE, KY 413110690 (Tel: 6064640151)

📍
Updated Practice Location June 24, 2021

Registered at 101 TOWN AND COUNTRY LN, HAZARD, KY 417019524 (Tel: 6064391399)

📍
Updated Business Mailing Address June 24, 2021

Registered at PO BOX 1988, HAZARD, KY 417021988 (Tel: 6064391399)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Pediatrics (License #55502 in KY)

NPI Profile Active April 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2018

Registered at 325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 376046056 (Tel: 4234397320)

📍
Updated Business Mailing Address April 27, 2018

Registered at 325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 376046056 (Tel: 4234397320)

👤
Provider Name / Credentials Updated April 27, 2018

Recorded as TRAVIS JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2018

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: 1013405778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2018
Last Update: August 16, 2024
Sole Proprietor: No

Mailing Address

Po Box 690

Beattyville, KY 413110690

Phone: 6064640151

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.