Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Robert Johnson, MD

Individual provider Surgery Physician · NPI 1164418943

Andrew Robert Johnson, MD is a General Surgery in Mount Vernon, Illinois. Graduated from University of Missouri, Columbia School of Medicine in 1998, 28 years ago. Practices with Saint Lukes Hospital of Chillicothe, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois and Mississippi.

Years since qualifying
28
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
IL, MS
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4218 Lincolnshire Dr
Mount Vernon, IL 62864-2156
Phone: (618) 242-8480
Fax: (618) 242-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036121708 (IL)
Surgery Physician Taxonomy 208600000X · Licence 28808 (MS)

Record details

NPI number1164418943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address4218 Lincolnshire Dr, Po Box 968, Mount Vernon, IL 62864-2156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Saint Lukes Hospital Of Chillicothe — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Vernon