SCOTT JOHNSON DO
NPI 1356000780
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since December 13, 2021PECOS Enrolled
653-1 W 8TH ST FL 4, JACKSONVILLE, FL 32209(904) 244-3140 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 8, 2022, Dec 13, 2021 (2 updates tracked since 2021).

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About SCOTT JOHNSON

This page provides the complete NPI Profile along with additional information for Scott Johnson, a primary care provider established in Jacksonville, Florida with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1356000780 assigned on December 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1356000780 Verify this NPI
Provider Name
SCOTT JOHNSON DO
Gender
Male
Entity Type
Individual
Location Address
653-1 W 8TH ST FL 4 JACKSONVILLE, FL 32209
Location Phone
(904) 244-3140
Mailing Address
220 RIVERSIDE AVE UNIT 641 JACKSONVILLE, FL 32202
Mailing Phone
(602) 515-6885
Is Sole Proprietor?
No
Enumeration Date
12-13-2021
Last Update Date
06-08-2022
Code Navigator

A primary care provider (PCP) like Scott Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 11567 Canterwood Blvd
    Gig Harbor, WA 98332
    (253) 530-2000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Scott Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SCOTT JOHNSON DO

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Pediatrics
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356000780, enumerated as an "individual" on December 13, 2021.

The provider is located at 653-1 W 8TH ST FL 4 JACKSONVILLE, FL 32209 and the phone number is (904) 244-3140.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.