JOHN ALDEN JOHNSON III M.D.
NPI 1902860372
Surgery in Hattiesburg, MS
About John Alden Johnson Iii M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ALDEN JOHNSON III M.D. (NPI 1902860372) is an individual surgery provider in Hattiesburg, Mississippi, licensed in Mississippi (12130) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Alden Johnson Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 696 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 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.
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.
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 1902860372. It was assigned to this individual provider in the NPPES registry on April 13, 2006.
Where is John Johnson located?
John Johnson practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5660.
What is John Johnson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Johnson enrolled in Medicare?
Yes. John Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Johnson reassigns Medicare benefits to Hattiesburg Clinic PA (Hattiesburg, MS). 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 John Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Johnson was last updated on August 3, 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.
# John Alden Johnson III, M.D. · NPI 1902860372
Surgery physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since April 13, 2006.
## Identity
- **NPI:** 1902860372 (Entity type: Individual)
- **Enumerated:** April 13, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 12130 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 S 28TH AVE, Hattiesburg, MS 39401-7246
- **Phone:** (601) 268-5660 · **Fax:** (601) 268-5759
## 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:** Hattiesburg Clinic PA (NPI 1043392459, Hattiesburg, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2020
- **Other identifiers:** Other 4594666 (MS); Medicaid 04431870 (MS); Medicaid 123146001 (AR); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902860372) · Data from the CMS NPPES public registry.