DR. JEFFERY ALAN JOHNSON (MD) – Pediatric Nephrology Physician, NPI 1134181647

DR. JEFFERY ALAN JOHNSON (MD) is a healthcare provider. based in Orlando, Florida. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. A81750 (CA). The NPI Number for DR. JEFFERY ALAN JOHNSON (MD) is 1134181647

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFERY ALAN JOHNSON (MD)
NPI
1134181647
Phone
(321) 841-7970
Address
92 W MILLER ST
Enumeration Date
3 April 2006
Last Update Date
15 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218414607
Graduation Year
2001 (25 years ago)
PAC ID
4981678729
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20140610001598
Address ID
FL328062032OR92XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

797 NEPHROLOGY in FL

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Provider Addresses for DR. JEFFERY ALAN JOHNSON (MD)

  • Bert Martin's Champions for Children Emergency Department & Trauma Center, 92, Miller Street, Orlando, Orange County, Florida, 32806, United States

    8TH FLOOR

    ORLANDO, FL 328062032

    Phone: (321) 841-7970

    Fax: (321) 841-7978

    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 7 Open Payments records for all available years, with a total value of $691.

Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Nuwellis, Inc. ($323).

Total Amount

$691

General + Research + Ownership

Payments

7

Total payment records

General Amount

$691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2022-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140610001598INephrologyFLTBD
I20220901000918IPediatric MedicineNDTBD

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 32806)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What identifier follows DR. JEFFERY ALAN JOHNSON (MD) across health systems?
The NPI 1134181647 uniquely identifies DR. JEFFERY ALAN JOHNSON (MD) in U.S. healthcare data.
Is DR. JEFFERY ALAN JOHNSON (MD)'s NPI status active today?
Active status means DR. JEFFERY ALAN JOHNSON (MD)'s NPI record is not deactivated in the public file.
What services align with DR. JEFFERY ALAN JOHNSON (MD)'s listing?
DR. JEFFERY ALAN JOHNSON (MD)'s public classification highlights Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JEFFERY ALAN JOHNSON (MD)?
DR. JEFFERY ALAN JOHNSON (MD) is associated with Orlando, Florida in the same public data insurers reference.
Who maintains DR. JEFFERY ALAN JOHNSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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