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Active NPI 1598068892 Individual Practitioner Male Practitioner

Stephen D Johnson , FNP

Nurse Practitioner - Family • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephen Johnson, FNP is a certified Nurse Practitioner - Family practicing in Jackson, MS. With approximately 16 years of clinical experience since completing medical education in 2010, Stephen Johnson delivers high-quality medical care to the local community at 969 LAKELAND DR.

Stephen Johnson is affiliated with Radiation Oncology Of Mississippi Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

969 Lakeland Dr

Jackson, MS 392164606

Telephone 6012002000
Associated Practice Facility / Clinic
🏢 Jpa Pathology, P.a. Facility NPI 1104824309

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Jackson, MS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +4.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
489 Specialists

Practicing in Jackson, MS (3862 Statewide)

Telehealth Adoption Rate
6.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (16 Years) 16 Yrs
Jackson Specialty Average (11.5 Years) 11.5 Yrs

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MS R863721

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02335251 (MS)

Hospital & Practice Group Affiliations

Radiation Oncology Of Mississippi Pa

2969 Curran Dr N, Jackson, MS 392164121

Phone: 6012003070

Practice Associates & Co-Workers

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

31 Associated Practitioners
Zachary Halliwell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053951194

Certified Registered Nurse Anesthetist

Lisa Parker

Nurse Practitioner - Family

NPI 1063898286
Sarah Baker

Nurse Practitioner - Family

NPI 1073442729
Dr. Marshall Stout , MD

Emergency Medicine

NPI 1073555454

Doctor of Medicine (M.D.)

Dr. Elliot Varney , MD, PhD

Radiology - Diagnostic Radiology

NPI 1083175194

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kyle Adams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144793191

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2012

Registered at 969 LAKELAND DR, JACKSON, MS 392164606 (Tel: 6012002000)

📍
Updated Business Mailing Address April 19, 2012

Registered at 813 WEDGEWOOD CT, BRANDON, MS 390476366 (Tel: 6016654355)

👤
Provider Name / Credentials Updated April 19, 2012

Recorded as STEPHEN JOHNSON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2012

Nurse Practitioner (License #R863721 in MS)

🟢
Initial NPI Registration & Enumeration December 09, 2010

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: 1598068892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2010
Last Update: April 19, 2012
Sole Proprietor: No

Mailing Address

813 Wedgewood Ct

Brandon, MS 390476366

Phone: 6016654355

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.