DR. WAYNE C JOHNSON JR. M.D.
NPI 1225087588
Family Medicine in Jackson, MS
About Dr. Wayne C Johnson Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WAYNE C JOHNSON JR. M.D. (NPI 1225087588) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (13895) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
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. Wayne C Johnson Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wayne Johnson's NPI number?
The NPI number for Wayne Johnson is 1225087588. It was assigned to this individual provider in the NPPES registry on May 6, 2006.
Where is Wayne Johnson located?
Wayne Johnson practices at 911 Ellis Ave, Jackson, MS 39209. The listed phone number is (601) 533-7016.
What is Wayne Johnson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wayne Johnson enrolled in Medicare?
Yes. Wayne Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Wayne Johnson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Wayne C Johnson Jr., M.D. · NPI 1225087588
Family Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since May 6, 2006.
## Identity
- **NPI:** 1225087588 (Entity type: Individual)
- **Enumerated:** May 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13895 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 ELLIS AVE, Jackson, MS 39209-6256
- **Phone:** (601) 533-7016 · **Fax:** (769) 333-9150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Mississippi School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225087588) · Data from the CMS NPPES public registry.