JOHNNY SHELDON JR. JARNAGIN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1659935351

JOHNNY SHELDON JR. JARNAGIN (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 1016958 (MA). The NPI Number for JOHNNY SHELDON JR. JARNAGIN (MD) is 1659935351

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY SHELDON JR. JARNAGIN (MD)
NPI
1659935351
Phone
Not provided
Address
55 LAKE AVE N
Enumeration Date
28 April 2019
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
6177240287
Graduation Year
2020 (6 years ago)
PAC ID
8123444262
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20240809002013
Address ID
MA021142696BO55XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

334 PHYSICAL MEDICINE AND REHABILITATION in MA

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Provider Addresses for JOHNNY SHELDON JR. JARNAGIN (MD)

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone:

    Type: Mailing

  • Lemuel Shattuck Hospital, 170, Morton Street, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02131, United States

    JAMAICA PLAIN, MA 021303735

    Phone: (617) 971-3337

    Fax: (617) 971-3852

    Type: Location

  • 15 YALE ST UNIT A

    MEDFORD, MA 021556029

    Phone: (978) 420-9338

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (978) 420-9338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: ABBVIE INC. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$122
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: 2024-08-09

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
I20240809002013IPhysical Medicine And RehabilitationMATBD

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 01655)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

Does JOHNNY SHELDON JR. JARNAGIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHNNY SHELDON JR. JARNAGIN (MD) uses 1659935351.
Is JOHNNY SHELDON JR. JARNAGIN (MD) still practicing?
JOHNNY SHELDON JR. JARNAGIN (MD) is currently listed as active in the public NPI registry.
What is JOHNNY SHELDON JR. JARNAGIN (MD)'s specialty?
The listing groups JOHNNY SHELDON JR. JARNAGIN (MD) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHNNY SHELDON JR. JARNAGIN (MD)?
JOHNNY SHELDON JR. JARNAGIN (MD)'s geographic hint is Worcester, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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