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MASON GRANT JOHNSON
NPI 1871120105
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since March 25, 2020PECOS Enrolled
800 ROSE STREET MN 150, LEXINGTON, KY 40506(859) 323-5261 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mason Grant Johnson NPPES

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

MASON GRANT JOHNSON (NPI 1871120105) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871120105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON GRANT JOHNSON
Location Address800 ROSE STREET MN 150Lexington, KY 40506-0001
Mailing Address2492 Ogden WayLexington, KY 40509-8575 · (606) 213-3034
Phone(859) 323-5261
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1871120105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 ROSE STREET MN 150, Lexington, KY 40506
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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)

Mason Grant 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.

Other Providers at the Same Location NPPES 3

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

JACKSON LAUREANO MD
Ophthalmology
800 ROSE STREET MN 150
LEXINGTON, KY 40506
Fayette County (859) 323-6161
OLIVIA MILLAY
Student in an Organized Health Care Education/Training Program
800 ROSE STREET MN 150
LEXINGTON, KY 40506
Fayette County (859) 232-6161
MAXWELL J RAKUTT
Student in an Organized Health Care Education/Training Program
800 ROSE STREET MN 150
LEXINGTON, KY 40506
Fayette County (859) 323-6161

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 Mason Johnson's NPI number?

The NPI number for Mason Johnson is 1871120105. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Mason Johnson located?

Mason Johnson practices at 800 Rose Street Mn 150, Lexington, KY 40506. The listed phone number is (859) 323-5261.

What is Mason 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 Mason Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mason Johnson was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.