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

Mrs. Deidre Johnson, NP-C

Individual provider Family Nurse Practitioner · NPI 1730743329

Mrs. Deidre Johnson, NP-C is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2018, 8 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1050 River Oaks Dr Ste 100
Flowood, MS 39232
Phone: (601) 200-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 228 Hidden Hills Pkwy, Brandon, MS 39047-5136 — (601) 760-0821

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902787 (MS)

Record details

NPI number1730743329
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESNovember 16, 2019
Mailing address1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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