DANNETTE SMITH JOHNSON D.O. NPI 1881743326

NPI Information

NPI: 1881743326
Provider Name: DANNETTE SMITH JOHNSON, D.O.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF RHEUMATOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5540
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Dannette Smith Johnson, D.O. is a rheumatology internal medicine in Jackson, MS. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Dannette Smith Johnson, D.O. NPI is 1881743326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF RHEUMATOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5540

The NPI 1881743326 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 enumeration date for this NPI number is 1/10/2007 and was last updated on 12/30/2015.

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
1	207RR0500X	Internal Medicine	Rheumatology	L9266	TEXAS	No
2	207RR0500X	Internal Medicine	Rheumatology	19808	MISSISSIPPI	Yes

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
1	P00607350	MEDICARE PIN	MISSISSIPPI
2	06807377	MEDICAID	MISSISSIPPI
3	106542	MEDICAID	ALABAMA
4	P01234022	OTHER	MISSISSIPPI	RAILROAD MEDICARE
5	1029297	MEDICAID	LOUISIANA
6	464109YJ5D	MEDICARE PIN	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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