Individual provider Active NPI

Carol Ann Johnston, MD

  • Ophthalmology Physician
  • Jacksonville, NC
National Provider Identifier
1033136551
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39287 Issued in NC
Practice address
6 Office Park Dr
Jacksonville, NC 28546-7325
Phone
(910) 355-3937
Fax
(910) 347-6663
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39287 NC Primary

Addresses

Primary practice location

6 Office Park Dr
Jacksonville, NC 28546-7325

Mailing address

6 Office Park Dr
Jacksonville, NC 28546-7325
Phone (910) 355-3937

Other identifiers 2

IdentifierTypeStateIssuer
46052OtherNCBLUECROSS BLUESHIELD
8946052MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908001017 NC Practitioner - Ophthalmology 8224034913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Ophthalmology PAGroup PAC ID 9830195536, 5 clinicians

Practice addresses (Care Compare)

6 Office Park Dr
Jacksonville, NC 28546-7325
Phone (910) 355-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.7 of 100Reported as group
Quality
97.75
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery264
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39287NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ophthalmology, PA Ophthalmology CurrentSince Sep 7, 1993 Accepting new patients
Onslow Ophthalmology, PA Ophthalmology CurrentSince Sep 7, 1993 Accepting new patients
Price Eye Clinic PA Ophthalmology Past Accepting new patients
Cardiovascular Center PA PastSince Jan 23, 2006 Accepting new patients

Locations

6 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-3937

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1033136551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-355-3937",
            "fax_number": "910-347-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "telephone_number": "910-355-3937",
            "fax_number": "910-347-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "39287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "46052",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946052",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.