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

Dr. Sidney A Johnson Jr., MD

Individual provider Radiation Oncology Physician · NPI 1497757603

Dr. Sidney A Johnson Jr., MD is a Radiation Oncology in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 1984, 42 years ago. Practices with Vicksburg Clinic LLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
42
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2005
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

2969 Curran Dr N
Jackson, MS 39216-4121
Phone: (601) 200-3070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2368 Grove St, Vicksburg, MS 39183-2857 — (601) 638-3005

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 10704 (MS)

Record details

NPI number1497757603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Vicksburg Clinic Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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