JUDITH L JOHNSON (CRNP) – Family Nurse Practitioner, NPI 1679576268

JUDITH L JOHNSON (CRNP) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. ARNP2188812 (FL). The NPI Number for JUDITH L JOHNSON (CRNP) is 1679576268

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH L JOHNSON (CRNP)
NPI
1679576268
Phone
(334) 712-3635
Address
1108 ROSS CLARK CIR
Enumeration Date
27 May 2005
Last Update Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347944159
Graduation Year
2002 (24 years ago)
PAC ID
9436192242
Group Practice PAC ID
9436062296
Professional Enrollment ID
I20160203001307
Address ID
AL363013030DO1118XCIRX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:21State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for JUDITH L JOHNSON (CRNP)

  • Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    HOSPITALIST OFFICE

    DOTHAN, AL 363013022

    Phone: (334) 712-3635

    Fax: (334) 699-4387

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($273).

Total Amount

$467

General + Research + Ownership

Payments

24

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

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: 2016-02-03

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
I20160203001307INurse PractitionerALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes24857$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5648$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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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: 9436062296View full group profile
NameSpecialtyState
U R O L O G YAL
Emergency MedicineMI
-AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Internal MedicineAL
Certified Registered Nurse Anesthetist (Crna)AL
U R O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
Critical Care (Intensivists)AL

Reviews

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Frequently asked questions

Can I cross-check JUDITH L JOHNSON (CRNP) using NPI 1679576268?
NPI 1679576268 belongs to JUDITH L JOHNSON (CRNP); compare other details if you need extra assurance.
Would JUDITH L JOHNSON (CRNP) appear as active to a payer?
You can treat JUDITH L JOHNSON (CRNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JUDITH L JOHNSON (CRNP)?
At a glance, JUDITH L JOHNSON (CRNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JUDITH L JOHNSON (CRNP) associated with Dothan?
Public fields place JUDITH L JOHNSON (CRNP) around Dothan, Alabama. Always confirm the exact site before visiting.
Does JUDITH L JOHNSON (CRNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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