J. David Johnson,md,pa
NPI 1376747196ActiveOrganization· Specialist· Tyler, TX
Specialist in Tyler, Texas, registered in NPPES in June 2007. The authorized official on file is James M. Gordon, NURSE PRACTITIONER, Ofc Mgr.
Overview
| NPI | 1376747196 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Jan 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G7829 | TX |
| Specialist | 174400000X | K4497 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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