JARED M JOHNSON (DO) – Internal Medicine Physician, NPI 1699425413

JARED M JOHNSON (DO) is a healthcare provider. based in Mobile, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO.3517 (AL). The NPI Number for JARED M JOHNSON (DO) is 1699425413

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JARED M JOHNSON (DO)
NPI
1699425413
Phone
Not provided
Address
2451 UNIVERSITY HOSPITAL DR RM 714
Enumeration Date
25 March 2022
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2516330123
Graduation Year
2022 (4 years ago)
PAC ID
8022499219
Group Practice PAC ID
6901091156
Professional Enrollment ID
I20241011000707
Address ID
AL366081912MO4402XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for JARED M JOHNSON (DO)

  • 2451 UNIVERSITY HOSPITAL DR RM 714

    MOBILE, AL 366172300

    Phone:

    Type: Mailing

  • 3715 DAUPHIN ST STE 7A

    MOBILE, AL 366081775

    Phone: (251) 410-4001

    Fax: (251) 410-4002

    Type: Mailing

  • 3715 DAUPHIN ST

    MOBILE, AL 366081771

    Phone: (251) 410-4001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Baxter Healthcare ($97).

Total Amount

$368

General + Research + Ownership

Payments

13

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2024-10-11

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
I20241011000707IInternal MedicineALTBD

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 36617)

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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: 6901091156View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JARED M JOHNSON (DO) in U.S. healthcare records?
The official identifier for JARED M JOHNSON (DO) is NPI 1699425413.
Active or inactive — what applies to JARED M JOHNSON (DO)?
You should see JARED M JOHNSON (DO) as active in CMS-hosted NPPES data.
What area of care is associated with JARED M JOHNSON (DO)?
JARED M JOHNSON (DO)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JARED M JOHNSON (DO) associated with Mobile?
Public fields place JARED M JOHNSON (DO) around Mobile, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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