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DR. GEORGE MICHAEL JOHNSON DO
NPI 1043874225
Family Medicine - Sports Medicine in Jacksonville, FL

Active since April 23, 2019PECOS Enrolled
2104 MASSEY AVENUE, JACKSONVILLE, FL 32228(904) 270-4265 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2025, Aug 9, 2023, Feb 7, 2023 and 1 more (4 updates tracked since 2019).

About Dr. George Michael Johnson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE MICHAEL JOHNSON DO (NPI 1043874225) is an individual sports medicine provider in Jacksonville, Florida, licensed in Florida (OS19146) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043874225
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. GEORGE MICHAEL JOHNSONCredential: DO
Location Address2104 MASSEY AVENUEJacksonville, FL 32228
Mailing Address7751 Lisa Dr EJacksonville, FL 32217-4134 · (615) 815-4834
Phone(904) 270-4265
Sole ProprietorNo
Enumeration DateApril 23, 2019
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1043874225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in FL · OS19146
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2104 MASSEY AVENUE, Jacksonville, FL 32228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George Michael Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PATRICK NEAL FAIRLEY RPH
Pharmacist
2104 MASSEY AVENUE
NAVAL STATION MAYPORT, FL 32228
Duval County (904) 270-4264
MR. HOOVER DAVIS III CAP
Counselor (Addiction (Substance Use Disorder))
2104 MASSEY AVENUE, BUILDING 2104
JACKSONVILLE, FL 32228
Duval County (904) 270-4331
TRACY L. ROSS-FARES LCSW, C-ASWCM
Social Worker
2104 MASSEY AVENUE, NAVAL STATION, MAYPORT
MAYPORT, FL 32228
Duval County (904) 270-4294
CELIA ANGELICA T MACAPAGAL APRN
Nurse Practitioner
2104 MASSEY AVENUE, NS MAYPORT
JACKSONVILLE, FL 32228
Duval County (904) 270-4318
DR. IVORIQUE' CLARK DURU DO
Family Medicine
2104 MASSEY AVENUE
JACKSONVILLE, FL 32228
Duval County (904) 270-4319
BEATRIZ E. BYERS IDC
Military Health Care Provider (Independent Duty Corpsman)
2104 MASSEY AVENUE, BUILDING 2104
JACKSONVILLE, FL 32228
Duval County (904) 270-4303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Johnson's NPI number?

The NPI number for George Johnson is 1043874225. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is George Johnson located?

George Johnson practices at 2104 Massey Avenue, Jacksonville, FL 32228. The listed phone number is (904) 270-4265.

What is George Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is George Johnson enrolled in Medicare?

Yes. George Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for George Johnson was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.