JEREMY TYLER JOHNSON


Address: 301 Governors Dr Sw, Huntsville, AL 35801
Phone: 2565514555

JEREMY TYLER JOHNSON (NPI# 1346470069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346470069
Entity Type Individual
Full Name JEREMY TYLER JOHNSON
Credential MD
Practice Address 301 Governors Dr Sw
Huntsville
AL 35801
Mailing Address 701 Dorothy Ford Ln Sw
Huntsville
AL 35801-7513
Practice Telephone 2565514555
Mailing Telephone 4074514720
Enumeration Date 2009-07-15
Last Update Date 2019-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 36023 AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
86 W Underwood St, Suite 201, Orlando, FL 328061110 3218415142 4076483686

Other Providers JEREMY JOHNSON

NPI Name Taxonomy Address Enumeration
1285243493 Jeremy Johnson Specialist/Technologist, Other 1016 Winding Way Dr, Georgetown, TX 78628-5201 2020-07-24
1801421409 Jeremy Ray Johnson Chiropractor 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 2020-03-04
1578197984 Jeremy Ezra Johnson Specialist/Technologist 331 Tramway Dr # 16, Stateline, NV 89449-9812 2020-02-24
1194368779 Jeremy Paul Johnson Acupuncturist 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 2019-10-25
1457838922 Jeremy Braxton Johnson Dietitian, Registered 283 Walnut St, Baxley, GA 31513-0954 2018-07-26
1306384524 Jeremy Johnson Physical Therapy Assistant 653 Golden Trl, Cave City, AR 72521-9432 2017-02-08
1992186530 Jeremy Johnson Student in an Organized Health Care Education/Training Program 1141 154th Ave Ne, Mayville, ND 58257 2015-06-09
1801274550 Jeremy Tate Johnson Specialist/Technologist 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 2015-05-14
1811374549 Jeremy V Johnson Family Medicine 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 2015-05-01
1902200660 Jeremy Johnson Counselor 1022 N Prospect St, Bowling Green, OH 43402-1335 2014-10-09

Office Location

Street Address 301 GOVERNORS DR SW
City HUNTSVILLE
State AL
Zip Code 35801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770565913 Laboratory Corporation of America Holdings Clinical Medical Laboratory 301 Governors Dr Sw, Ste 110, Huntsville, AL 35801-5123 2005-11-15
1316557754 Amani Bajunayd Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-07-31
1134738065 Muhammad Mohsin Zafar Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-07-27
1073134672 Joseph Alan Shaw Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-05-05
1457971988 Sawyer Mullen Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-24
1225658248 Robert Logan Staples Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1982224085 Whitney Nicole Lee Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1730709833 David Joseph Martinez Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-20
1255950994 Phillip R Ingram Jr. Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-13
1477172211 Lauren Taylor Beggs Student in an Organized Health Care Education/Training Program 301 Governors Dr Sw, Huntsville, AL 35801-5123 2020-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043810195 Tempus Primary Care Family Medicine 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 2020-10-28
1780237412 Inomedic Health Applications, Inc. Family Medicine Nasa/ Msfc Medical Center, As10, Bldg 4249, Huntsville, AL 35812 2019-07-22
1982126587 Happi Health Family Medicine 2597 Sparkman Dr Nw, Huntsville, AL 35810-3868 2017-07-14
1619499209 Happi Health Family Medicine 4040 Memorial Pkwy Sw Ste K, Huntsville, AL 35802-4364 2017-07-14
1760916282 Daniel Englert Family Medicine 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 2017-04-12
1891242962 Advantage Health Solutions,llc Family Medicine 4820 University Dr Ste 35, Huntsville, AL 35816 2016-09-07
1396291027 Advantage Health Solutions,llc Family Medicine 4820 University Dr Ste 18, Huntsville, AL 35816 2016-09-01
1396192423 Jacob Wilson Family Medicine 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 2016-05-18
1386006112 Jenna Okerblom Family Medicine 100 Washington St Ne Ste 102, Huntsville, AL 35801-5052 2016-03-22
1811337942 Richard Edwin Rice Family Medicine 1409 Deborah Dr Se, Huntsville, AL 35801-1493 2013-07-03
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Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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