MEDICARE: DR. ERICA NICOLE JOHNSON M.D.

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	207R00000X	Internal Medicine Physician	0101238164	VA
2	207RI0200X	Infectious Disease Physician	D0077586	MD
3	207R00000X	Internal Medicine Physician	D0077586	MD

General Provider Information

NPI Number	:	1215901624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA NICOLE JOHNSON M.D.

Provider Business Mailing Address
First Line	:	3915 ELAN CT
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-7313
Country	:	US
Telephone Number	:	301-805-7718
Fax Number	:	202-782-5183

Provider Business Practice Location Address
First Line	:	WALTER REED ARMY MEDICAL CENTER
Second Line	:	6900 GEORGIA AVE NW
City	:	WASHINGTON
State	:	DC
Zip	:	20307-0001
Country	:	US
Telephone Number	:	202-782-1774
Fax Number	:	202-782-5183

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	01/15/2026

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