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NATHAN JOHNSON
NPI 1093575474
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 21, 2024PECOS Enrolled
4301 W MARKHAM ST # 641, LITTLE ROCK, AR 72205(501) 686-5545 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Johnson NPPES

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

NATHAN JOHNSON (NPI 1093575474) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1093575474
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN JOHNSON
Location Address4301 W MARKHAM ST # 641Little Rock, AR 72205-7101
Mailing Address2204 Nichols RdLittle Rock, AR 72205-7040 · (870) 680-0142
Phone(501) 686-5545
Sole ProprietorYes
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1093575474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 641, Little Rock, AR 72205
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Secondary Practice Location 1

Location 11 Childrens Way # 512-19ALittle Rock, AR 72202-3500 · Phone (501) 364-5115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Johnson 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.

Other Providers at the Same Location NPPES 17

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

DR. ALICE P ALEXANDER MD
Internal Medicine
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
THOMAS PLES SPRADLEY MD
Internal Medicine
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-1010
DR. ZACHARY WALKER TILLEY MD
Internal Medicine
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 526-1010
MATTHEW LAWS
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5545
MADISON B MORRIS MD
Internal Medicine
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
DR. ELIZABETH CAROL GATH M.D.
Internal Medicine
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ALEX JOHN CLAUSEN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
AARTHI RAO
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 641
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000

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 Nathan Johnson's NPI number?

The NPI number for Nathan Johnson is 1093575474. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Nathan Johnson located?

Nathan Johnson practices at 4301 W Markham St # 641, Little Rock, AR 72205. The listed phone number is (501) 686-5545.

What is Nathan Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathan Johnson was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.