DANE TODD JOHNSON (MD) – Gastroenterology Physician, NPI 1497252647

DANE TODD JOHNSON (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 100324 (GA). The NPI Number for DANE TODD JOHNSON (MD) is 1497252647

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DANE TODD JOHNSON (MD)
NPI
1497252647
Phone
(205) 934-2490
Address
625 19TH ST S
Enumeration Date
12 April 2018
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6789871485
Graduation Year
2018 (8 years ago)
PAC ID
0749723724
Group Practice PAC ID
3870768997
Professional Enrollment ID
I20240618003649
Address ID
GA300053707AL3400XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

239 GASTROENTEROLOGY in AL

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Provider Addresses for DANE TODD JOHNSON (MD)

  • 625, 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331900

    Phone: (205) 934-2490

    Type: Location

  • 625 19th St S

    Birmingham, AL 352331900

    Phone: (205) 934-2490

    Type: Location

  • 3400 OLD MILTON PKWY STE 380

    ALPHARETTA, GA 300053707

    Phone: (678) 987-1485

    Fax: (678) 987-1486

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($170).

Total Amount

$939

General + Research + Ownership

Payments

36

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240618003649IGastroenterologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870768997View full group profile
NameSpecialtyState
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
Gastroenterology, Internal MedicineGA
Gastroenterology, Internal MedicineGA
Physician AssistantGA
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA
Gastroenterology, Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I cross-check DANE TODD JOHNSON (MD) using NPI 1497252647?
NPI 1497252647 belongs to DANE TODD JOHNSON (MD); compare other details if you need extra assurance.
Is there an active status for DANE TODD JOHNSON (MD)?
For scheduling context, DANE TODD JOHNSON (MD) is shown as active in the registry.
What area of care is associated with DANE TODD JOHNSON (MD)?
DANE TODD JOHNSON (MD)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DANE TODD JOHNSON (MD) associated with Birmingham?
Public fields place DANE TODD JOHNSON (MD) around Birmingham, Alabama. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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