IndividualActive
Dermaine Johnson, CERTIFIED HAIR LOSS
NPI 1073975066 · Prosthetics Case Management · Meridian, MS
Provider details
- NPI number
- 1073975066
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CERTIFIED HAIR LOSS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5055 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 Highway 39 N Apt 77
Meridian, MS 39301-1339
Phone: (334) 505-7628
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Highway 39 N Apt 77
Meridian, MS 39301-1339
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.