Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194499186 Individual Practitioner Male Practitioner

Bobby Allen Johnson

Peer Specialist • Ponca City, OK

Professional Overview & Biography Verified Profile Summary

Bobby Johnson is a registered healthcare professional specializing in Peer Specialist in Ponca City, OK. Practice services are available at 2225 N UNION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2225 N Union St

Ponca City, OK 746011555

Telephone 5807495056
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ponca City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
77 Specialists

Practicing in Ponca City, OK (5280 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: 2021-08-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Daniel

Case Manager/Care Coordinator

NPI 1003560707
Lauren Kirk , LPC

Counselor - Mental Health

NPI 1053678243

Licensed Professional Counselor

Brianna Morrison

Case Manager/Care Coordinator

NPI 1073182523
Shaun Arant

Peer Specialist

NPI 1073250973
John Wensler , RSS

Peer Specialist

NPI 1073934980
Carrie Ingram

Case Manager/Care Coordinator

NPI 1083208037

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2021

Registered at 2225 N UNION ST, PONCA CITY, OK 746011555 (Tel: 5807495056)

📍
Updated Business Mailing Address August 04, 2021

Registered at 2225 N UNION ST, PONCA CITY, OK 746011555 (Tel: 5807495056)

👤
Provider Name / Credentials Updated August 04, 2021

Recorded as BOBBY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 04, 2021

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: 1194499186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2021
Last Update: August 04, 2021
Sole Proprietor: No

Mailing Address

2225 N Union St

Ponca City, OK 746011555

Phone: 5807495056

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.