Jerry Johnson, MD
NPI 1669415972 · Geriatric Medicine (Internal Medicine) Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Geriatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Johnson, MD is a Geriatric Medicine (Internal Medicine) Physician provider in Philadelphia, PA (NPI 1669415972).
Provider details
- NPI number
- 1669415972
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD019829E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-06-14
- Last updated
- 2012-03-23
Frequently asked questions
- What is Jerry Johnson's NPI number?
- Jerry Johnson's National Provider Identifier (NPI) is 1669415972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Johnson's specialty?
- Jerry Johnson is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Johnson located?
- Jerry Johnson's practice location on file with NPPES is 3615 Chestnut St, Philadelphia, PA 19104.
- What is Jerry Johnson's phone number?
- The practice phone number listed in the NPPES registry for Jerry Johnson is (215) 662-2746.
- Does Jerry Johnson accept Medicare?
- Jerry Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Johnson's NPI active?
- Yes — Jerry Johnson's NPI (1669415972) is active in the NPPES registry as of the last update on 2012-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.