Doctor profile · Federal record
Dr. ADAM JOHNSON, M.D.
Emergency Medicine Physician · Emergency Medicine Physician · JACKSON, WY
- NPI 1043364797
- MIPS 100.0 / 100 · 2023
- 19 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
625 E BROADWAY AVE
JACKSON, WY 830018642
(307) 739-7250
fax (307) 739-7249 - Additional location
-
3345 W Cody Lane Unit 9
Teton Village, WY 830250544
(307) 739-7346
fax (307) 739-7349 - Mailing address
-
PO BOX 428
JACKSON, WY 830010428
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- February 10, 2021
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- Wyoming #7834A · Utah #6447817-1205
- Medicaid
- WY #139580000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043364797. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tris Pharma Inc | 1 | $16.58 |