VERSAN JOHNSON M.D. – NPI #1447549985
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

VERSAN JOHNSON is a physician located in LAKE MARY, FL. NPPES has assigned the NPI number 1447549985 to VERSAN JOHNSON on April 05, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name VERSAN JACKSON. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 VERSAN JOHNSON below.

NPI Profile for
VERSAN JOHNSON

NPI Number
1447549985
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
VERSAN JOHNSON
Former Name: VERSAN JACKSON
Credentials
M.D.
Primary location
761 STIRLING CENTER PL
LAKE MARY, FL 32746-5700
Phone: (407) 732-7682 Fax: (407) 915-6843
Mailing address
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone: (312) 996-4021 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
FL ME130663

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.