SIDNEY A. JOHNSON, JR. MD – NPI #1497757603
Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
SIDNEY JOHNSON, JR. is a radiologist located in JACKSON, MS. NPPES has assigned the NPI number 1497757603 to SIDNEY JOHNSON, JR. on June 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology
The NPI profile was previously updated about 3 years ago on Feb 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIDNEY JOHNSON, JR. below.
NPI Profile for
SIDNEY A. JOHNSON, JR.
(more than 21 years ago)
JACKSON, MS 39216-4121 Phone: (601) 200-3070 Fax:
1 Other location(s):
Vicksburg, MS 39183-2857
Phone: (601) 638-3005
Fax: (601) 638-3227
JACKSON, MS 39296-4997 Phone: (601) 362-0600 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SIDNEY JOHNSON, JR.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | NPI | MS | 1497757603 |
| medicaid | LA | 1961809 | |
| medicaid | MS | 0015534 | |
| medicaid | MS | 000015534 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0001X - Radiology / Radiation Oncology (Primary) |
MS | 10704 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SIDNEY JOHNSON, JR. is affiliated with the following medical group(s):
- HOSPITAL
- MERIT HEALTH WOMEN'S HOSPITAL1026 RIVER OAKS DRIVE
FLOWOOD, MS 39232 - ST DOMINIC-JACKSON MEMORIAL HOSPITAL969 LAKELAND DR
JACKSON, MS 39216
- MERIT HEALTH WOMEN'S HOSPITAL1026 RIVER OAKS DRIVE
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