HOLLY JOHNSON
NPI 1811313125
Nurse Practitioner - Family in Birmingham, AL

Active since March 11, 2014PECOS Enrolled
1201 11TH AVE S, PACT CLINIC-3RD FLOOR UAB HIGHLANDS, BIRMINGHAM, AL 35205(205) 478-4976 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly Johnson NPPES

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

HOLLY JOHNSON (NPI 1811313125) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-082208) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1811313125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY JOHNSON
Location Address1201 11TH AVE S, PACT CLINIC-3RD FLOOR UAB HIGHLANDSBirmingham, AL 35205-3410
Mailing Address1201 11th Ave SBirmingham, AL 35205-3410
Sole ProprietorNo
Enumeration DateMarch 11, 2014
Last NPPES UpdateFebruary 1, 2024
✔ NPI 1811313125 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 · 1-082208
1201 11TH AVE S, Birmingham, AL 35205

Secondary Practice Location 1

Location 11201 11th Ave SBirmingham, AL 35205-3423 · Phone (205) 930-7812 · Fax (205) 930-7061

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)

Holly 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.

Medicare Billing Reassignment

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

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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 20

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

Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205

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 Holly Johnson's NPI number?

The NPI number for Holly Johnson is 1811313125. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Holly Johnson located?

Holly Johnson practices at 1201 11th Ave S Pact Clinic-3rd Floor Uab Highlands, Birmingham, AL 35205. The listed phone number is (205) 478-4976.

What is Holly Johnson's specialty?

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

Is Holly Johnson enrolled in Medicare?

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

Which organization bills Medicare for Holly Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Johnson reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, 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 Holly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Johnson accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Holly 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 Holly Johnson was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.