MEDICARE: DR. HENRY GOODWIN JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	10551	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01873131	OTHER	AL	RR MEDICARE
6	102I167972	OTHER	AL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	C7846	OTHER	AL	VIVA HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1549806	OTHER	AL	CIGNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184719379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY GOODWIN JOHNSON MD

Provider Business Mailing Address
First Line	:	301 BROWN SPRINGS RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-7005
Country	:	US
Telephone Number	:	334-747-4159
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 E SOUTH BLVD STE 806
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2007
Country	:	US
Telephone Number	:	334-288-3400
Fax Number	:	334-288-0188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/13/2023

Similar Medicare Providers

1134681950 — GABRIELLE ALLENA WALKER
Practice Location Address:

2055 E SOUTH BLVD STE 806
MONTGOMERY, AL
36116-2007

Practice Phone: 334-747-8920
Practice Fax: 334-747-8930

1366464216 — JULIAN EDWARD MCINTYRE MD
Practice Location Address:

2055 E SOUTH BLVD STE 806
MONTGOMERY, AL
36116-2007

Practice Phone: 334-747-8920
Practice Fax: 334-747-8930

1760910152 — NEWTON ANESTHESIA SERVICES LLC
Practice Location Address:

2055 E SOUTH BLVD STE 908
MONTGOMERY, AL
36116-2007

Practice Phone: 334-284-6500
Practice Fax: 334-284-6202

1871081398 — DR. JUSTIN WALTON LEWIS MD
Practice Location Address:

2055 E SOUTH BLVD STE 806
MONTGOMERY, AL
36116-2007

Practice Phone: 334-747-8920
Practice Fax:

1730641283 — DR. JASMINE LORETTA JOHNSON DO
Practice Location Address:

2055 E SOUTH BLVD STE 806
MONTGOMERY, AL
36116-2007

Practice Phone: 334-747-8920
Practice Fax:

1356964563 — CAMERON CHICK HUDSON AUD
Practice Location Address:

2055 E SOUTH BLVD STE 908
MONTGOMERY, AL
36116-2007

Practice Phone: 334-747-7500
Practice Fax: 334-747-7501

Directions to “ DR. HENRY GOODWIN JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.