Hollye R Johnson, MD - Medicare Nephrology in Jackson, MS

Hollye R Johnson, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Jackson, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Diversified Renal Group Llc and her current practice location is 6501 Dogwood View Parkway, Suite A, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 899-3340.

Hollye R Johnson is licensed to practice in Mississippi (license number 15974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700815321.

Contact Information

Hollye R Johnson, MD
6501 Dogwood View Parkway, Suite A,
Jackson, MS 39213
(601) 899-3340
(601) 899-3343

Map and Direction




Physician's Profile

Full NameHollye R Johnson
GenderFemale
SpecialityNephrology
Experience27 Years
Location6501 Dogwood View Parkway, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hollye R Johnson attended and graduated from University Of Mississippi School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1700815321
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 04/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749249209
  • Enrollment ID: I20041008001016

Medical Identifiers

Medical identifiers for Hollye R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700815321NPI-NPPES
04056301MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 15974 (Mississippi)Secondary
207RN0300XInternal Medicine - Nephrology 15974 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Isd Renal IncCanton, MSDialysis facility
Isd Renal IncJackson, MSDialysis facility
Isd Renal IncJackson, MSDialysis facility
Fmc CantonCanton, MSDialysis facility
Mississippi Baptist Medical CenterJackson, MSHospital
St Dominic-jackson Memorial HospitalJackson, MSHospital
Merit Health River OaksFlowood, MSHospital
Merit Health CentralJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diversified Renal Group Llc64068152994

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hollye R Johnson allows following entities to bill medicare on her behalf.
Entity NameDiversified Renal Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184792038
PECOS PAC ID: 6406815299
Enrollment ID: O20041007000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hollye R Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hollye R Johnson, MD
6501 Dogwood View Parkway, Suite A,
Jackson, MS 39213

Ph: (601) 899-3340
Hollye R Johnson, MD
6501 Dogwood View Parkway, Suite A,
Jackson, MS 39213

Ph: (601) 899-3340

Reviews and Comments


Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
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Jo P Deal, MD
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Samuel Hammond Love, M.D.
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Meghan Alford Luter, M.D.
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5532    
Dr. Taylor Brooke Winstead, MD, PHARMD
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Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.