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

Jeffrey L Johnson, MD

Individual provider Surgery Physician · NPI 1235115064

Jeffrey L Johnson, MD is a General Surgery in Austin, Texas. Qualified in 1997, 29 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
29
Licensed in
CO, TX
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

5301 Davis Ln Bldg B100
Austin, TX 78749-4072
Phone: (512) 324-2349
Fax: (512) 324-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Lincoln St Ste 208, Fort Morgan, CO 80701-3290 — (970) 542-4371

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence K7172 (TX)
Surgery Physician Taxonomy 208600000X · Licence DR.0068273 (CO)

Record details

NPI number1235115064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESSeptember 8, 2023
Certification dateAugust 24, 2023
Mailing address5301 Davis Ln Bldg B100, Austin, TX 78749-4072

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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