Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366428641 Individual Practitioner Male Practitioner

Dr. Kerry R Johnson , MD

Pediatrics • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Johnson, MD is a registered healthcare professional specializing in Pediatrics in Dallas, TX. Practice services are available at 7777 FOREST LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7777 Forest Ln

Dallas, TX 752302505

Telephone 9727583598
Associated Practice Facility / Clinic
🏢 Lee Ann Pearse, M.d., P.a. Facility NPI 1063417236

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
398 Specialists

Practicing in Dallas, TX (5841 Statewide)

Telehealth Adoption Rate
1.0% 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 TX J5362

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX J5362

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
8K9072 (TX)
Commercial Insurance / Payer ID Bcbs
89931K (TX)
Commercial Insurance / Payer ID Bcbs
84783F (TX)

Practice Associates & Co-Workers

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

39 Associated Practitioners
Dr. Gayla Garner , MD

Emergency Medicine

NPI 1093791774

Doctor of Medicine (M.D.)

Dr. Brenna Nance , MD

Emergency Medicine

NPI 1114903150

Doctor of Medicine (M.D.)

Dr. Joseph Nawrocki , MD

Emergency Medicine

NPI 1174509053

Doctor of Medicine (M.D.)

Dr. Charles Carpenter , MD

Emergency Medicine

NPI 1194700112

Doctor of Medicine (M.D.)

Dr. Marco Coppola , DO

Emergency Medicine

NPI 1205811254

Doctor of Osteopathic Medicine (D.O.)

Dr. James Touchy , MD

Emergency Medicine

NPI 1245210699

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2007

Registered at 7777 FOREST LN, DALLAS, TX 752302505 (Tel: 9727583598)

📍
Updated Business Mailing Address December 04, 2007

Registered at PO BOX 201606, DALLAS, TX 753201606 (Tel: 9727583598)

👤
Provider Name / Credentials Updated December 04, 2007

Recorded as KERRY JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Emergency Medicine (License #J5362 in TX)

🟢
Initial NPI Registration & Enumeration December 19, 2005

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: 1366428641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2005
Last Update: December 04, 2007
Sole Proprietor: No

Mailing Address

Po Box 201606

Dallas, TX 753201606

Phone: 9727583598

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.