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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669836540

Jeremy M Johnson, DO is an Emergency Medicine in Jackson, Mississippi. Graduated from William Carey University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Boa Vida Hospital of Aberdeen MS LLC, a 70-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
William Carey University College of Osteopathic Medicine
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1669836540
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Boa Vida Hospital Of Aberdeen Ms Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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