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

Jerimiah Johnson, MD

Individual provider Family Medicine Physician · NPI 1770998429

Jerimiah Johnson, MD is a Family Practice in Edmond, Oklahoma. Qualified in 2013, 13 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Oklahoma.

Years since qualifying
13
Licensed in
IA, OK
In the registry since
2014
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

1208 W 15th St
Edmond, OK 73013-3001
Phone: (405) 340-2100
Fax: (405) 340-1184
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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 32698 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-10027 (IA)

Record details

NPI number1770998429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 21, 2022
Mailing address1208 W 15th St, Edmond, OK 73013-3001

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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