DR. SAMUEL A JOHNSON MD NPI 1083638217

NPI Information

  • NPI: 1083638217
  • Provider Name: DR. SAMUEL A JOHNSON, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 LEIGH DR
    COLUMBUS, MS
    ZIP 39705
  • Phone: (662) 327-7525

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NPI Details

DR. Samuel A Johnson, MD is a specialist in Columbus, MS with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Samuel A Johnson, MD NPI is 1083638217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:1989

The provider's business location address is:

600 LEIGH DR
COLUMBUS, MS
ZIP 39705-014
Phone: (662) 327-7525
Fax: (662) 243-2252

The NPI 1083638217 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.

  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Dilation of esophagus (HCPCS:43450)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Measurement of liver stiffness (HCPCS:91200)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Measurement of hydrogen in breath to test for stomach and bowel symptoms (HCPCS:91065)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • Stool analysis for blood, by peroxidase activity (HCPCS:82272)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 7/27/2006 and was last updated on 1/10/2012.

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
1174400000XSpecialist13781MISSISSIPPIYes

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
1009914955OTHERMISSISSIPPIALACAID
2100000142MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
3100015721OTHERMISSISSIPPIRAILROAD MEDICARE
4730-06661OTHERMISSISSIPPIBLUE CROSS OF ALABAMA
500114403MEDICAIDMISSISSIPPI
6640813832OTHERMISSISSIPPITAX ID
7F877-53MEDICARE UPINMISSISSIPPI

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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