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CAROL M. JOHNSON M.D.
NPI 1396854576
Family Medicine in Alabaster, AL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1022 1ST ST N, SUITE 400, ALABASTER, AL 35007(205) 664-7570(205) 664-7584 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol M. Johnson M.d. NPPES

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

CAROL M. JOHNSON M.D. (NPI 1396854576) is an individual family medicine provider in Alabaster, Alabama, licensed in Alabama (11601) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1983).

NPPES Registry Identity

NPI1396854576
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL M. JOHNSONCredential: M.D.
Location Address1022 1ST ST N, SUITE 400Alabaster, AL 35007-8706
Mailing Address1022 1st St N, Suite 400Alabaster, AL 35007-8706 · (205) 664-7570 · Fax (205) 664-7584
Phone(205) 664-7570
Fax(205) 664-7584
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1983
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 1, 2008
✔ NPI 1396854576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 11601
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1022 1ST ST N, Alabaster, AL 35007
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Other Identifiers 3

Other510-07223AL · Blue Cross Provider Number
Medicare UPINC72420AL
Medicare PIN510I080121AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Carol M. 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 ID8022193200
PECOS Enrollment IDI20080312000237
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
283 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
203 services99 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
104 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35007 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
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims475 services$7.11 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims461 services$15.90 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims400 services$5.10 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims148 services$2.06 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6237
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims134 services$7.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ANNETTE COSGROVE M.D.
Pediatrics
1022 1ST ST N, SUITE 102
ALABASTER, AL 35007
Shelby County (205) 663-9550
MARK LEE MULLENS MD
Internal Medicine (Cardiovascular Disease)
1022 1ST ST N, SUITE 500
ALABASTER, AL 35007
Shelby County (205) 663-5775
CLYDE DALE ELLIOTT MD
Internal Medicine (Cardiovascular Disease)
1022 1ST ST N, SUITE 500
ALABASTER, AL 35007
Shelby County (205) 663-5775
CHARLENE H. MCNEILL
Occupational Therapist
1022 1ST ST N, SUITE 220
ALABASTER, AL 35007
Shelby County (205) 621-3778
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
1022 1ST ST N, SUITE 500
ALABASTER, AL 35007
Shelby County (205) 621-8490
PRIMARY CARE ASSOCIATES OF ALABASTER
Internal Medicine
1022 1ST ST N, STE 400
ALABASTER, AL 35007
Shelby County (205) 664-1331
DR. ROBERT LAND HENDERSON JR. MD
Dermatology
1022 1ST ST N, SUITE 201
ALABASTER, AL 35007
Shelby County (205) 621-9500
DR. CLAYTON BUIE M.D.
Pediatrics
1022 1ST ST N, SUITE 102
ALABASTER, AL 35007
Shelby County (205) 663-9550

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 Carol Johnson's NPI number?

The NPI number for Carol Johnson is 1396854576. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Carol Johnson located?

Carol Johnson practices at 1022 1st St N Suite 400, Alabaster, AL 35007. The listed phone number is (205) 664-7570.

What is Carol Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carol Johnson enrolled in Medicare?

Yes. Carol 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.

What insurance does Carol Johnson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Carol 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 Carol Johnson was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.