DR. KELLY MARIE MCGEE JOHNSON D.C.
NPI 1376194662
Chiropractor in Sarasota, FL
About Dr. Kelly Marie Mcgee Johnson D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY MARIE MCGEE JOHNSON D.C. (NPI 1376194662) is an individual chiropractor in Sarasota, Florida, licensed in Ohio (04922) and active in the NPI registry since September 2019.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly Marie Mcgee Johnson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sarasota, FL 34231
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
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 Kelly Johnson's NPI number?
The NPI number for Kelly Johnson is 1376194662. It was assigned to this individual provider in the NPPES registry on September 27, 2019.
Where is Kelly Johnson located?
Kelly Johnson practices at 3544 Clark Rd, Sarasota, FL 34231. The listed phone number is (941) 404-1253.
What is Kelly Johnson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kelly Johnson enrolled in Medicare?
Yes. Kelly Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Johnson reassigns Medicare benefits to Revitalize Chiropractic LLC (Sarasota, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Johnson was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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. Kelly Marie Mcgee Johnson, D.C. · NPI 1376194662
Chiropractor provider in Sarasota, Florida. Individual provider, active in the CMS NPPES registry since September 27, 2019.
## Identity
- **NPI:** 1376194662 (Entity type: Individual)
- **Enumerated:** September 27, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 04922 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3544 CLARK RD, Sarasota, FL 34231-8408
- **Phone:** (941) 404-1253
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Revitalize Chiropractic LLC (NPI 1508394396, Sarasota, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376194662) · Data from the CMS NPPES public registry.