CAROLINE BRAWLEY JOHNSON (MS, RDN, LD) – Registered Dietitian, NPI 1811688419

CAROLINE BRAWLEY JOHNSON (MS, RDN, LD) is a healthcare provider. based in Montgomery, Alabama. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RDN, LD. They hold a License No. 2036 (AL). The NPI Number for CAROLINE BRAWLEY JOHNSON (MS, RDN, LD) is 1811688419

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)
NPI
1811688419
Phone
(205) 908-0187
Address
3224 BANKHEAD AVE
Enumeration Date
16 May 2023
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3344168298
Graduation Year
2010 (16 years ago)
PAC ID
4880050343
Group Practice PAC ID
9335480730
Professional Enrollment ID
I20230525002533
Address ID
AL361167271MO3186XCIRX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

80 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in AL

Provider Addresses for CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)

  • 3224 BANKHEAD AVE

    MONTGOMERY, AL 361062448

    Phone: (205) 908-0187

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-05-25

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
I20230525002533IRegistered Dietitian Or Nutrition ProfessionalALTBD

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 36106)

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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: 9335480730View full group profile
NameSpecialtyState
-AL
N E U R O L O G YAL
Nurse PractitionerAL

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Frequently asked questions

What federal number belongs to CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)?
The federal identifier for CAROLINE BRAWLEY JOHNSON (MS, RDN, LD) is NPI 1811688419.
Is CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)'s NPI currently valid?
The extract we use shows CAROLINE BRAWLEY JOHNSON (MS, RDN, LD) as active.
What kind of provider is CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)?
The page reflects Registered Dietitian for CAROLINE BRAWLEY JOHNSON (MS, RDN, LD). Clinical services aligned with this taxonomy classification.
Where is CAROLINE BRAWLEY JOHNSON (MS, RDN, LD)'s primary listing?
We display Montgomery, Alabama because that is what the record indicates for CAROLINE BRAWLEY JOHNSON (MS, RDN, LD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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