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PAMELA TATE JOHNSON
NPI 1679231955
Nurse Practitioner - Family in Andalusia, AL

Active since December 03, 2021PECOS Enrolled
508 E THREE NOTCH ST, ANDALUSIA, AL 36420(334) 362-2015 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Tate Johnson NPPES

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

PAMELA TATE JOHNSON (NPI 1679231955) is an individual family provider in Andalusia, Alabama, licensed in Alabama (1-070398) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679231955
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA TATE JOHNSON
Location Address508 E THREE NOTCH STAndalusia, AL 36420-3128
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866 · (205) 545-5088
Phone(334) 362-2015
Sole ProprietorNo
Enumeration DateDecember 3, 2021
NPPES CertifiedDecember 3, 2021
✔ NPI 1679231955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-070398
508 E THREE NOTCH ST, Andalusia, AL 36420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Tate Johnson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36420 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.

Other Providers at the Same Location NPPES 4

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

RURAL URGENT CARE LLC
Clinic/Center (Rural Health)
508 E THREE NOTCH ST
ANDALUSIA, AL 36420
Covington County (334) 362-2015
RURAL URGENT CARE LLC
Clinic/Center (Urgent Care)
508 E THREE NOTCH ST
ANDALUSIA, AL 36420
Covington County (334) 427-2273
SPECIALTY CLINIC, PC
Family Medicine
508 E THREE NOTCH ST
ANDALUSIA, AL 36420
Covington County (334) 472-9427
DR. ROGER T BOYINGTON D.O.
Family Medicine
508 E THREE NOTCH ST
ANDALUSIA, AL 36420
Covington County (334) 427-2273

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 Pamela Johnson's NPI number?

The NPI number for Pamela Johnson is 1679231955. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Pamela Johnson located?

Pamela Johnson practices at 508 E Three Notch St, Andalusia, AL 36420. The listed phone number is (334) 362-2015.

What is Pamela Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pamela Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Pamela Johnson was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.