DR. KIMBERLY ANN JOHNSON
NPI 1497303002
Speech-Language Pathologist in Tallahassee, FL
About Dr. Kimberly Ann Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY ANN JOHNSON (NPI 1497303002) is an individual speech-language pathologist provider in Tallahassee, Florida, licensed in Florida (SA3714) and active in the NPI registry since August 2019. She is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kimberly Ann Johnson 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 Reassignment
Medicare enrollment records show Kimberly Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tallahassee, FL 32308
- Reassigned Medicare billing, Florida enrollment
- 15 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TALLAHASSEE, FL 32308
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 Kimberly Johnson's NPI number?
The NPI number for Kimberly Johnson is 1497303002. It was assigned to this individual provider in the NPPES registry on August 27, 2019.
Where is Kimberly Johnson located?
Kimberly Johnson practices at 1609 Medical Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-4612.
What is Kimberly Johnson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kimberly Johnson enrolled in Medicare?
Yes. Kimberly 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 organization bills Medicare for Kimberly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Johnson reassigns Medicare benefits to Florida State University (Tallahassee, FL). 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 Kimberly 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 Kimberly Johnson was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kimberly Ann Johnson · NPI 1497303002
Speech-Language Pathologist provider in Tallahassee, Florida. Individual provider, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1497303002 (Entity type: Individual)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SA3714 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1609 MEDICAL DR, Tallahassee, FL 32308-4617
- **Phone:** (850) 431-4612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Florida State University (NPI 1902003536, Tallahassee, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1497303002) · Data from the CMS NPPES public registry.