YAMINAH JOHNSON FNP
NPI 1417770876
Nurse Practitioner - Family in Brookhaven, MS
About Yaminah Johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YAMINAH JOHNSON FNP (NPI 1417770876) is an individual family provider in Brookhaven, Mississippi, licensed in Mississippi (907005) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Yaminah Johnson Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Yaminah Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 49 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Kings Daughters Ob-Gyn Clinic
- 5 clinicians in this Medicare group
Jackson, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 49 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters Medical Center-Brookhaven
Acute Care Hospitals · Brookhaven, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, MS 39601
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 Yaminah Johnson's NPI number?
The NPI number for Yaminah Johnson is 1417770876. It was assigned to this individual provider in the NPPES registry on November 4, 2024.
Where is Yaminah Johnson located?
Yaminah Johnson practices at 1012 Big Lane Dr, Brookhaven, MS 39601. The listed phone number is (601) 833-8157.
What is Yaminah Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yaminah Johnson enrolled in Medicare?
Yes. Yaminah 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.
Which organizations bill Medicare for Yaminah Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yaminah Johnson reassigns Medicare benefits to 3 organizations: Kdmc Physician Clinics LLC (Brookhaven, MS), King's Daughters Ob-Gyn Clinic (Brookhaven, MS) and Southern Women's Health, PLLC (Jackson, MS). Each 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 Yaminah Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yaminah Johnson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Yaminah 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.
Is Yaminah Johnson affiliated with any hospitals?
According to CMS data, Yaminah Johnson is affiliated with King's Daughters Medical Center-Brookhaven.
When was this NPI record last updated?
The NPPES record for Yaminah Johnson was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Yaminah Johnson, FNP · NPI 1417770876
Family physician in Brookhaven, Mississippi. Individual provider, active in the CMS NPPES registry since November 4, 2024.
## Identity
- **NPI:** 1417770876 (Entity type: Individual)
- **Enumerated:** November 4, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907005 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1012 BIG LANE DR, Brookhaven, MS 39601-2331
- **Phone:** (601) 833-8157
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kdmc Physician Clinics LLC (NPI 1861739161, Brookhaven, MS); King's Daughters Ob-Gyn Clinic (NPI 1114871357, Brookhaven, MS); Southern Women's Health, PLLC (NPI 1174744379, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417770876) · Data from the CMS NPPES public registry.