Jerry L Johnson MD PA
NPI 1174824510 · Obstetrics & Gynecology Physician · Lufkin, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry L Johnson MD PA is a Obstetrics & Gynecology Physician organization in Lufkin, TX (NPI 1174824510).
Provider details
- NPI number
- 1174824510
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Johnson, Md/Owner(936) 632-1533
- License
- J2117 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-11-16
- Last updated
- 2012-09-06
Frequently asked questions
- What is Jerry L Johnson MD PA's NPI number?
- Jerry L Johnson MD PA's National Provider Identifier (NPI) is 1174824510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry L Johnson MD PA?
- Jerry L Johnson MD PA is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry L Johnson MD PA located?
- Jerry L Johnson MD PA's practice location on file with NPPES is 503 S John Redditt Dr, Lufkin, TX 75904-3120.
- What is Jerry L Johnson MD PA's phone number?
- The practice phone number listed in the NPPES registry for Jerry L Johnson MD PA is (936) 632-1533.
- Does Jerry L Johnson MD PA accept Medicare?
- Jerry L Johnson MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jerry L Johnson MD PA?
- The authorized official listed on Jerry L Johnson MD PA's NPPES record is Jerry Johnson, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry L Johnson MD PA's NPI active?
- Yes — Jerry L Johnson MD PA's NPI (1174824510) is active in the NPPES registry as of the last update on 2012-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.