Individual provider Active NPI

Georgina Millicent Julious Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Elgin, SC
National Provider Identifier
1043076235
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29517 Issued in SC
Practice address
385 Spears Creek Church Rd
Elgin, SC 29045-8446
Phone
(803) 427-3231
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29517 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

385 Spears Creek Church Rd
Elgin, SC 29045-8446

Mailing address

801 N Brickyard Rd
Columbia, SC 29223-8227
Phone (803) 427-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512000414 SC Practitioner - Nurse Practitioner 9931626116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of South Carolina LLCGroup PAC ID 7618352451, 32 clinicians
Onsite Mental HealthGroup PAC ID 3173928512, 16 clinicians

Practice addresses (Care Compare)

101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone (718) 298-4375

105 Franklin Square Way
Suite a
Easley, SC 29642-3715
Phone (864) 442-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
29517SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of South Carolina LLC CurrentSince Apr 15, 2025 Accepting new patients
Onsite Mental Health Psychiatric/Mental Health CurrentSince Nov 5, 2025 Accepting new patients
Onsite Medical Solutions SC Coastal LLC Past Accepting new patients
Onsite Medical Solutions SC Upstate LLC Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1043076235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238227",
            "telephone_number": "803-427-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SPEARS CREEK CHURCH RD",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458446",
            "telephone_number": "803-427-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIOUS JOHNSON",
        "first_name": "GEORGINA",
        "middle_name": "MILLICENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29517",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

Verify at the official NPI Registry.