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

Marcus L Johnson, CRNA

Individual provider Registered Nurse · NPI 1609311802

Marcus L Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Brookhaven, Mississippi. Qualified in 2016, 10 years ago. Practices with Kings Daughters Medical Center, a 76-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

427 Highway 51 N
Brookhaven, MS 39601-2350
Phone: (601) 833-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901412 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 891211 (MS)

Record details

NPI number1609311802
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 23, 2016
Last updated in NPPESDecember 23, 2016
Mailing address427 Highway 51 N, Brookhaven, MS 39601-2350

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kings Daughters Medical Center — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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