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

Individual provider Obstetrics & Gynecology Physician · NPI 1700316270

Dr. Stacey Gwen Johnson, MD is an Obstetrics/Gynecology in Columbia, Missouri. Qualified in 2017, 9 years ago. Practices with Care for Women, LLC, a 26-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
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

402 N Keene St
Columbia, MO 65201-6986
Phone: (573) 499-6084
Fax: (573) 499-6088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2017018527 (MO)

Record details

NPI number1700316270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Care For Women, Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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