JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC – Family Medicine Physician, NPI 1053972331
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC
4900 W Whiteland Rd
Greenwood, IN 461435902
Phone: (317) 736-3300
Type: Location
1000 S US 31
Greenwood, IN 461432407
Phone: (317) 736-5515
Fax: (317) 738-0198
Type: Location
1155 W Jefferson St Ste 102
Franklin, IN 461312731
Phone: (317) 736-7603
Fax: (317) 736-7932
Type: Location
104, West Jefferson Street, Franklin, Johnson County, Indiana, 46131, United States
FRANKLIN, IN 461312731
Phone: (317) 346-7934
Fax: (317) 346-2712
Type: Mailing
Johnson Memorial Hospital, 1125, West Jefferson Street, Franklin, Johnson County, Indiana, 46131, United States
FRANKLIN, IN 461312140
Phone: (317) 346-7934
Fax: (317) 346-2712
Type: Location
8 N US 31 Ste C
Whiteland, IN 461841546
Phone: (317) 530-3111
Fax: (317) 738-0737
Type: Location
1159 W Jefferson St Ste 304
Franklin, IN 461312795
Phone: (317) 736-5515
Fax: (317) 736-5515
Type: Location
8 N US 31 Ste A
Whiteland, IN 461841546
Phone: (317) 736-5515
Fax: (317) 738-0198
Type: Location
116 Tracy Miles Rd Ste 200
Franklin, IN 461315547
Phone: (317) 346-3100
Fax: (317) 346-3660
Type: Location
3000 S State Road 135 Ste 200
Greenwood, IN 461439829
Phone: (317) 535-1876
Fax: (317) 535-5049
Type: Location
1155 W Jefferson St Ste 202
Franklin, IN 461312732
Phone: (317) 346-3883
Fax: (317) 346-3141
Type: Location
1125 W Jefferson St Ste 100
Franklin, IN 461312140
Phone: (317) 346-3883
Fax: (317) 346-3141
Type: Location
1125 W Jefferson St Ste S200
Franklin, IN 461312140
Phone: (317) 738-0630
Fax: (317) 738-0737
Type: Location
1159 W JEFFERSON ST STE 304
FRANKLIN, IN 461312795
Phone: (317) 736-5515
Fax: (317) 738-0198
Type: Location
PO BOX 800
FRANKLIN, IN 461310800
Phone: (317) 346-7934
Fax: (317) 346-2712
Type: Mailing
1155 W JEFFERSON ST STE 101
FRANKLIN, IN 461312731
Phone: (317) 736-6133
Fax: (317) 736-6403
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: 2019-08-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (654 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20190821004529 | O | Clinic/Group Practice | IN | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 46143)
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