JASON DOUGLAS JOHNSON – Family Medicine Physician, NPI 1073044343
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,117 FAMILY PRACTICE in GA
Provider Addresses for JASON DOUGLAS JOHNSON
3278 Mitchell Blvd
Moody AFB, GA 316991500
Phone: (229) 257-2778
Type: Location
6 13th Ave E
Polson, MT 598605315
Phone: (406) 883-5680
Fax: (406) 883-8910
Type: Location
Stonecipher Boulevard, Ada, Pontotoc County, Oklahoma, 74820, United States
ADA, OK 748203439
Phone: (580) 276-1846
Type: Location
3278 MITCHELL BLVD
MOODY AFB, GA 316991500
Phone: (229) 257-2778
Type: Location
PO BOX 31001
PASADENA, CA 911104110
Phone: (406) 676-5680
Fax: (406) 676-5690
Type: Mailing
63351 US HIGHWAY 93
RONAN, MT 598642702
Phone: (406) 676-5680
Fax: (406) 676-5690
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($15).
Total Amount
$28
General + Research + Ownership
Payments
2
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $15 |
| ABBVIE INC. | $13 |
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: 2024-12-09
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240826002278 | I | Family Practice | MT | TBD |
| I20241209002952 | I | Family Practice | GA | TBD |
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.
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 31699)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Physician Assistant | WA | |
| Physician Assistant | MT | |
| Orthopedic Surgery | NY | |
| Physician Assistant | MT | |
| - | MT | |
| - | WA | |
| Pediatric Medicine, Internal Medicine | VA | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Physician Assistant | MT |
Reviews
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