DR. DARYL AUNDRA JOHNSON M.D.
NPI 1902095664
Neurological Surgery in Hattiesburg, MS

Active since October 18, 2007PECOS Enrolled
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 579-5459(601) 268-5733 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daryl Aundra Johnson M.d. NPPES

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

DR. DARYL AUNDRA JOHNSON M.D. (NPI 1902095664) is an individual neurological surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (23216) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902095664
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DARYL AUNDRA JOHNSONCredential: M.D.
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5459 · Fax (601) 579-5240
Fax(601) 268-5733
Sole ProprietorNo
Enumeration DateOctober 18, 2007
Last NPPES UpdateAugust 23, 2016
NPI 1902095664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in MS · 23216 Licensed in MS · T-2057
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License T-2057 (MS)
415 S 28TH AVE, Hattiesburg, MS 39401

Other Identifiers 3

Medicare PIN358761YJ5DMS
Medicaid08681565MS
Medicare PIN358761YKFFMS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Daryl Aundra Johnson M.d. 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 39401 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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.

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401

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 Daryl Johnson's NPI number?

The NPI number for Daryl Johnson is 1902095664. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Daryl Johnson located?

Daryl Johnson practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 579-5459.

What is Daryl Johnson's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Daryl Johnson enrolled in Medicare?

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

What insurance does Daryl Johnson accept?

Health plans from Molina Healthcare list Daryl 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 Daryl Johnson was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.