Active NPI
Sharon T Johnson, P.T.A, R.N,
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20287
- Practice address
- 111 Doctor Cir
Columbia, SC 29203-6502 - Phone
- (800) 491-0909
- NPI assigned
- Mar 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN185304 | GA | |
| Physical Therapy Assistant | 225200000X | PTA1521 | SC | |
| Physical Therapy Assistant | 225200000X | PTA002269 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN185304 | GA | |
| Family Nurse Practitioner | 363LF0000X | 20287 | SC | Primary |
Addresses
Primary practice location
111 Doctor Cir
Columbia, SC 29203-6502
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other practice location 1
6849 Peachtree Dunwoody Rd NE
Suite 102
Atlanta, GA 30328-1610
Phone (678) 587-9922
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
21 Edwards St
Sumter, SC 29150-4808
Phone (800) 491-0909
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN185304 | GA | MD | Critical Care Medicine Registered Nurse |
| PTA002269 | GA | MD | Physical Therapy Assistant |
| PTA1521 | SC | MD | Physical Therapy Assistant |
| 20287 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients |
Locations
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- sharon.johnson.1@7602.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, SC
- NPI 1760430375
-
- Home Health Agency
- Florence, SC
- NPI 1528433521
-
- Home Health Agency
- Irmo, SC
- NPI 1689626608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1104068840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [
{
"address_1": "6849 Peachtree Dunwoody Rd NE",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303281610",
"country_code": "US",
"telephone_number": "678-587-9922",
"fax_number": "678-587-9993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHARON",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "P.T.A, R.N,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "GA",
"license": "RN185304",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "PTA1521",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002269",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN185304",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.