DR. JOHN WILLIAM JOHNSON M.D.
NPI 1730354333
Student in an Organized Health Care Education/Training Program in Fayetteville, AR
About Dr. John William Johnson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLIAM JOHNSON M.D. (NPI 1730354333) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John William Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 148 clinicians in this Medicare group
Berryville, AR 72616
- Reassigned Medicare billing, Arkansas enrollment
- 70 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
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 John Johnson's NPI number?
The NPI number for John Johnson is 1730354333. It was assigned to this individual provider in the NPPES registry on April 24, 2008.
Where is John Johnson located?
John Johnson practices at 2907 E Joyce Blvd, Fayetteville, AR 72703. The listed phone number is (479) 521-8260.
What is John Johnson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Johnson enrolled in Medicare?
Yes. John Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Johnson reassigns Medicare benefits to 2 organizations: South Arkansas Emergency Physicians, LLP (Springdale, AR) and Mercy Hospital Berryville (Berryville, AR). 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 John Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Johnson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John 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.
When was this NPI record last updated?
The NPPES record for John Johnson was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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. John William Johnson, M.D. · NPI 1730354333
Student in an Organized Health Care Education/Training Program provider in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since April 24, 2008.
## Identity
- **NPI:** 1730354333 (Entity type: Individual)
- **Enumerated:** April 24, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2907 E JOYCE BLVD, Fayetteville, AR 72703-5011
- **Phone:** (479) 521-8260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): South Arkansas Emergency Physicians, LLP (NPI 1184045056, Springdale, AR); Mercy Hospital Berryville (NPI 1457306326, Berryville, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1730354333) · Data from the CMS NPPES public registry.