L DAVID JOHNSON MD NPI 1053410662

NPI Information

  • NPI: 1053410662
  • Provider Name: L DAVID JOHNSON, MD
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24 PHYSICIANS DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 661-9825

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NPI Details

L David Johnson, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Jackson, TN with 39 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. L David Johnson, MD NPI is 1053410662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

24 PHYSICIANS DR
JACKSON, TN
ZIP 38305-070
Phone: (731) 661-9825
Fax: (731) 668-6757

The NPI 1053410662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (HCPCS:J7318)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose (HCPCS:J7324)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 9/21/2006 and was last updated on 2/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery17211TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13025550MEDICAIDTENNESSEE
2G44073MEDICARE UPINTENNESSEE
30369490001MEDICARE NSCTENNESSEE
43025552MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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