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

Jerimiah Johnson, MD

Individual provider Family Medicine Physician · NPI 1770998429

Jerimiah Johnson, MD is a Family Practice in Edmond, Oklahoma. Qualified in 2013, 13 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Oklahoma.

Years since qualifying
13
Licensed in
IA, OK
In the registry since
2014
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

1208 W 15th St
Edmond, OK 73013-3001
Phone: (405) 340-2100
Fax: (405) 340-1184
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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 32698 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-10027 (IA)

Record details

NPI number1770998429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Edmond