Individual provider Active NPI

Eric Johnson, MD

  • Obstetrics & Gynecology Physician
  • Goose Creek, SC
National Provider Identifier
1063466365
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32337 Issued in SC
Practice address
102 Loganberry Cir
Goose Creek, SC 29445-7238
Phone
(843) 743-5817
Fax
(843) 553-1887
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32337 SC Primary

Addresses

Primary practice location

102 Loganberry Cir
Goose Creek, SC 29445-7238

Mailing address

102 Loganberry Cir
Goose Creek, SC 29445-7238
Phone (843) 743-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140206000101 VA Practitioner - Obstetrics/Gynecology 2769664622 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Womens Center Inc CurrentSince Mar 10, 2014 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Nov 10, 2013 Accepting new patients
River City OB/GYN, P.C. Obstetrics & Gynecology CurrentSince Sep 17, 2018 Accepting new patients
Dominion Women'S Health, Inc. Obstetrics & Gynecology CurrentSince Apr 12, 2014 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

13700 St Francis Blvd
Ste 603
Midlothian, VA 23114
Phone (804) 362-0808

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1063466365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LOGANBERRY CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457238",
            "telephone_number": "843-743-5817",
            "fax_number": "843-553-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LOGANBERRY CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457238",
            "telephone_number": "843-743-5817",
            "fax_number": "843-553-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "32337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.