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CAROLE LEA JOHNSON M.D.
NPI 1386624419
Dermatology in Dothan, AL

Active since January 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D2184761 · Microscopy
92.29/100
CMS Quality Rating
1733 W MAIN ST STE 200, DOTHAN, AL 36301(334) 677-1690(334) 699-1465 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carole Lea Johnson M.d. NPPES

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

CAROLE LEA JOHNSON M.D. (NPI 1386624419) is an individual dermatology provider in Dothan, Alabama, licensed in Alabama (18456) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through May 25, 2028, and is a graduate of University Of Kentucky College Of Medicine (1989).

NPPES Registry Identity

NPI1386624419
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCAROLE LEA JOHNSONCredential: M.D.
Location Address1733 W MAIN ST STE 200Dothan, AL 36301-1345
Mailing Address1733 W Main St Ste 200Dothan, AL 36301-1345 · (334) 677-1690 · Fax (334) 991-4656
Phone(334) 677-1690
Fax(334) 699-1465
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989
Enumeration DateJanuary 17, 2006
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1386624419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AL · 18456
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1733 W MAIN ST STE 200, Dothan, AL 36301
Open in Google Maps ↗

Other Identifiers 1

Other512-42252AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carole Lea Johnson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284638743
PECOS Enrollment IDI20060914000383
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D2184761

Carole L Johnson, MD Dermatology · Dothan, AL
Active · expires May 25, 2028
CLIA Number01D2184761
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorCarole L. Johnson
Laboratory Phone(334) 677-1690
Laboratory LocationCarole L Johnson, MD Dermatology1733 W Main Street, Suite 200, Dothan, AL 36301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
713 services191 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
425 services310 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
321 services281 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
146 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services117 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
102 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.99
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%882 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,977 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%87 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 210 patients
99%210 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 205 patients
100%205 patients
Provide Patients Electronic Access to Their Health Information
92%2,540 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%140 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Carole Johnson's NPI number?

The NPI number for Carole Johnson is 1386624419. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Carole Johnson located?

Carole Johnson practices at 1733 W Main St Ste 200, Dothan, AL 36301. The listed phone number is (334) 677-1690.

What is Carole Johnson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carole Johnson enrolled in Medicare?

Yes. Carole Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Carole Johnson hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2184761) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carole Johnson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Carole Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carole Johnson was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.