JOHNSON DERMATOLOGY
NPI 1437110962
Dermatology in Fort Smith, AR
About Johnson Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNSON DERMATOLOGY (NPI 1437110962) is a healthcare organization registered as a dermatology in Fort Smith, Arkansas and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 18, 2027, maintains a secondary practice location in Alma, and lists Sandra Marchese Johnson, General Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnson Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Johnson Dermatology, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Compliance 04D1052897
Johnson Dermatology Clinic, PLLC · Fort Smith, ARFrequently 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 Johnson Dermatology Clinic PLLC's NPI number?
The NPI number for Johnson Dermatology Clinic PLLC is 1437110962. It was assigned to this organization in the NPPES registry on April 2, 2006. The provider is doing business as Johnson Dermatology.
Where is Johnson Dermatology Clinic PLLC located?
Johnson Dermatology Clinic PLLC is located at 5921 Riley Park Dr, Fort Smith, AR 72916. The listed phone number is (479) 649-3376.
What is Johnson Dermatology Clinic PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Johnson Dermatology Clinic PLLC enrolled in Medicare?
Yes. Johnson Dermatology Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Johnson Dermatology Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Johnson Dermatology Clinic PLLC. A 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 the clinician's services. The largest specialties are Dermatology (4), Nurse Practitioner (4) and Pathology (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Johnson Dermatology Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D1052897) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Johnson Dermatology Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Johnson Dermatology Clinic PLLC 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 Johnson Dermatology Clinic PLLC was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Johnson Dermatology · NPI 1437110962
Dermatology organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since April 2, 2006.
## Identity
- **NPI:** 1437110962 (Entity type: Organization)
- **Enumerated:** April 2, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Johnson Dermatology Clinic Pllc
- **Organization subpart:** No
- **Authorized official:** Sandra Johnson, GENERAL MANAGER
## Practice location
- **Address:** 5921 RILEY PARK DR, Fort Smith, AR 72916-6103
- **Phone:** (479) 649-3376 · **Fax:** (479) 646-0133
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Nurse Practitioner (4), Pathology (1); 5 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437110962) · Data from the CMS NPPES public registry.