WINDELL JOHNSON, P. A.
NPI 1881204758
Nurse Practitioner - Family in White Hall, AR
About Windell Johnson, P. A. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WINDELL JOHNSON, P. A. (NPI 1881204758) is a healthcare organization registered as a family in White Hall, Arkansas and active in the NPI registry since August 2020. The organization lists Habib Khan, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Windell Johnson, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Windell Johnson, P. A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Windell Johnson, P. A.'s NPI number?
The NPI number for Windell Johnson, P. A. is 1881204758. It was assigned to this organization in the NPPES registry on August 5, 2020.
Where is Windell Johnson, P. A. located?
Windell Johnson, P. A. is located at 7500 Dollarway Rd Ste 301, White Hall, AR 71602. The listed phone number is (512) 201-6766.
What is Windell Johnson, P. A.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Windell Johnson, P. A. enrolled in Medicare?
Yes. Windell Johnson, P. A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Windell Johnson, P. A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Windell Johnson, P. A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Windell Johnson, P. A. was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Windell Johnson, P. A. · NPI 1881204758
Family organization in White Hall, Arkansas. Organization record, active in the CMS NPPES registry since August 5, 2020.
## Identity
- **NPI:** 1881204758 (Entity type: Organization)
- **Enumerated:** August 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Habib Khan, MANAGER
## Practice location
- **Address:** 7500 DOLLARWAY RD STE 301, White Hall, AR 71602-3084
- **Phone:** (512) 201-6766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881204758) · Data from the CMS NPPES public registry.