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

Kevin R. Johnson, DO

Individual provider Family Medicine Physician · NPI 1992773535

Kevin R. Johnson, DO is a Family Practice in Columbus, Mississippi. Qualified in 2002, 24 years ago. Practices with North Mississippi Medical Clinics Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2006
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

2402 5th St N
Columbus, MS 39705-2000
Phone: (662) 690-8007
Fax: (662) 842-4653
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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 18376 (MS)

Record details

NPI number1992773535
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJune 10, 2011
Mailing addressPo Box 405827, Atlanta, GA 30384-5827

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Mississippi Medical Clinics Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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