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RODERICK G JOHNSON M.D.
NPI 1417920786
Specialist in Anniston, AL

Active since February 08, 2006PECOS Enrolled
901 LEIGHTON AVE, STE. 702, ANNISTON, AL 36207(256) 237-1624(256) 238-0555 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roderick G Johnson M.d. NPPES

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

RODERICK G JOHNSON M.D. (NPI 1417920786) is an individual specialist in Anniston, Alabama, licensed in Alabama (3531) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417920786
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRODERICK G JOHNSONCredential: M.D.
Location Address901 LEIGHTON AVE, STE. 702Anniston, AL 36207-5700
Mailing Address901 Leighton Ave, Ste. 702Anniston, AL 36207-5700 · (256) 237-1624 · Fax (256) 238-0555
Phone(256) 237-1624
Fax(256) 238-0555
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417920786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 3531
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
901 LEIGHTON AVE, Anniston, AL 36207
Open in Google Maps ↗

Other Identifiers 2

Other51003265AL · Blue Cross Blue Shield
Other14274AL · Health Strategies

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roderick G Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Roderick Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Surgical Clinic Of Anniston, PA
5.8 mi
Specialist
111 TOWN CENTER DRIVE
Anniston, AL 36205
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1437121050 (256) 237-1624

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 20

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

INTERNAL MEDICINE ASSOCIATES, P.C.
Specialist
901 LEIGHTON AVE, SUITE 101
ANNISTON, AL 36207
Calhoun County (256) 236-0890
WILLIAM J. FERGSON, JR., MD PC
Specialist
901 LEIGHTON AVE, SUITE 305
ANNISTON, AL 36207
Calhoun County (256) 237-8811
JOSE R. CABALLERO, M.D. P.C.
Pediatrics
901 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 236-4845
G.F. ATWELL CORPORATION
Dentist (Oral and Maxillofacial Surgery)
901 LEIGHTON AVE, SUITE 401
ANNISTON, AL 36207
Calhoun County (256) 236-6090
CARLA E CULP LCSW
Social Worker (Clinical)
901 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-2707
ANNISTON CARDIOLOGY ASSOCIATES, P.A.
Clinic/Center (Medical Specialty)
901 LEIGHTON AVE, SUITE 201
ANNISTON, AL 36207
Calhoun County (256) 236-5181
REGIONAL HEALTH MANAGEMENT CORPORATION
Psychiatry & Neurology (Psychiatry)
901 LEIGHTON AVE, SUITE 301
ANNISTON, AL 36207
Calhoun County (256) 741-1198
REGIONAL MEDICAL CENTER BOARD
Psychiatry & Neurology (Neurology)
901 LEIGHTON AVE, SUITE 402
ANNISTON, AL 36207
Calhoun County (256) 236-1303

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 Roderick Johnson's NPI number?

The NPI number for Roderick Johnson is 1417920786. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Roderick Johnson located?

Roderick Johnson practices at 901 Leighton Ave Ste. 702, Anniston, AL 36207. The listed phone number is (256) 237-1624.

What is Roderick Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roderick Johnson enrolled in Medicare?

Yes. Roderick Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roderick Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Johnson reassigns Medicare benefits to The Surgical Clinic Of Anniston, PA (Anniston, AL). 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 Roderick 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 Roderick Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.