Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gbemisola Oluwakemi Johnson, MD

Individual provider Family Medicine Physician · NPI 1003556903

Dr. Gbemisola Oluwakemi Johnson, MD is a Family Practice in Bolivar, Missouri. Qualified in 2022, 4 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
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

3817 S Springfield Avenue Bolivar Mo 6561 Ste 140
Bolivar, MO 65613
Phone: (417) 422-4769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025046442 (MO)

Record details

NPI number1003556903
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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