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

Richard Keith Johnson, MD

Individual provider Surgery Physician · NPI 1669494175

Richard Keith Johnson, MD is a General Surgery in Selma, Alabama. Graduated from University of Mississippi School of Medicine in 2000, 26 years ago. Practices with Vaughan Physician Practices, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Missouri and Mississippi.

Years since qualifying
26
Trained at
University of Mississippi School of Medicine
Licensed in
MO, MS
In the registry since
2006
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

1023 Medical Center Pkwy Ste 311
Selma, AL 36701-7740
Phone: (334) 418-6652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 19773 (MS)
Surgery Physician Taxonomy 208600000X · Licence 2006015220 (MO)

Record details

NPI number1669494175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESFebruary 2, 2024
Certification dateMay 19, 2022
Mailing address1023 Medical Center Pkwy Ste 311, Selma, AL 36701-7740

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Vaughan Physician Practices, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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