Larry R Johnston
Medical Specialty
Professional ID
- NPI: 1023003019
- PECOS ID: 2961694740
- Enrollment ID: I20101012000813
- Credential(MD, DO, DPM):
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 010005
- Business Name (LBN)1: Marshall Medical Center South
- Hospital CCN2: 010012
- Business Name (LBN)2: Dekalb Regional Medical Center
Medical Practices
- Organization Name: South Dekalb Family Medical Associates P.c.
- Group Practice ID assigned by PECOS: 3971566811
- Number of Group Practice member: 7
Location
- Address1: 15239 Hwy 68 W
- Address2:
- City: Crossville
- State: Alabama
- Zip Code: 35962
- Phone Number: (256)528-7173
Location
- Address1: 3442 Us Hwy 431
- Address2:
- City: Albertville
- State: Alabama
- Zip Code: 35950
- Phone Number: (256)593-1234
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):