JEREMY TYLER JOHNSON (MD) – Family Medicine Physician, NPI 1346470069

JEREMY TYLER JOHNSON (MD) is a healthcare provider. based in Orlando, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 36023 (AL). The NPI Number for JEREMY TYLER JOHNSON (MD) is 1346470069

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY TYLER JOHNSON (MD)
NPI
1346470069
Phone
(321) 841-5142
Address
86 W Underwood St
Enumeration Date
15 July 2009
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2562339292
Graduation Year
2009 (17 years ago)
PAC ID
2860627049
Group Practice PAC ID
6204084502
Professional Enrollment ID
I20190205001739
Address ID
AL356112457AT700XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for JEREMY TYLER JOHNSON (MD)

  • 86 W Underwood St

    Suite 201

    Orlando, FL 328061110

    Phone: (321) 841-5142

    Fax: (407) 648-3686

    Type: Location

  • 701, Dorothy Ford Lane Southwest, Twickenham Square, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358017513

    Phone: (407) 451-4720

    Type: Mailing

  • 301, Governors Drive Southwest, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 35801

    Phone: (256) 551-4555

    Type: Location

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: 2020-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20131023001839IFamily PracticeFLTBD
I20190205001739IEmergency MedicineALTBD
I20200916002486IFamily PracticeTNTBD

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
99285Emergency department visit with high level of medical decision making310298$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only187179$0
99284Emergency department visit with moderate level of medical decision making160155$0
99291Critical care, first 30-74 minutes2929$0
99283Emergency department visit with low level of medical decision making2828$0
View full utilization report →

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: 6204084502View full group profile
NameSpecialtyState
Nurse PractitionerAL
Emergency MedicineAL
Nurse PractitionerAL
Emergency MedicineAL
Emergency MedicineAL
Family PracticeAL
Family PracticeAL
General Practice, Emergency MedicineLA
Emergency MedicineAL
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do payers reference JEREMY TYLER JOHNSON (MD)?
For JEREMY TYLER JOHNSON (MD), use NPI 1346470069 as the unique 10-digit identifier.
Would JEREMY TYLER JOHNSON (MD) appear as active to a payer?
You can treat JEREMY TYLER JOHNSON (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JEREMY TYLER JOHNSON (MD)'s focus?
For JEREMY TYLER JOHNSON (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEREMY TYLER JOHNSON (MD)?
Travel planning: use Orlando, Florida as the reference point for JEREMY TYLER JOHNSON (MD), then confirm.
Can I trust this NPI listing for JEREMY TYLER JOHNSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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