MR. DERMAINE ANTWAN JOHNSON CERTIFIED HAIR LOSS
NPI 1073975066
Specialist - Prosthetics Case Management in Meridian, MS

Q: What is Dermaine Johnson's NPI number?

The NPI number for Dermaine Johnson is 1073975066. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Dermaine Johnson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Dermaine Johnson was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since March 28, 2016

3500 HIGHWAY 39 N APT 77, MERIDIAN, MS 39301(334) 505-7628 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Dermaine Antwan Johnson Certified Hair Loss NPPES

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

MR. DERMAINE ANTWAN JOHNSON CERTIFIED HAIR LOSS (NPI 1073975066) is an individual prosthetics case management provider in Meridian, Mississippi, licensed in Mississippi (5055) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1073975066

Entity TypeIndividualMale

Primary Taxonomy1744P3200X

Provider Legal NameMR. DERMAINE ANTWAN JOHNSONCredential: CERTIFIED HAIR LOSS

Location Address3500 HIGHWAY 39 N APT 77Meridian, MS 39301-1339

Mailing Address3500 Highway 39 N Apt 77Meridian, MS 39301-1339 · (334) 505-7628

Phone(334) 505-7628

Sole ProprietorYes

Enumeration DateMarch 28, 2016

✔ NPI 1073975066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in MS · 5055

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

3500 HIGHWAY 39 N APT 77, Meridian, MS 39301

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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 Dermaine Johnson's NPI number?

The NPI number for Dermaine Johnson is 1073975066. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Dermaine Johnson located?

Dermaine Johnson practices at 3500 Highway 39 N Apt 77, Meridian, MS 39301. The listed phone number is (334) 505-7628.

What is Dermaine Johnson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Dermaine Johnson was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.