Active NPI
Cody Reid Johnson
- Student in an Organized Health Care Education/Training Program
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 N Academy Ave
Danville, PA 17822-9800 - Phone
- (570) 271-6301
- Fax
- (570) 271-5976
- NPI assigned
- Feb 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | MD486964 | PA |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-9800
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, OH, SC, PA, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Toledo College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258741 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Clarendon | Multi-Specialty | Current | Accepting new patients |
| Riverside Physician Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Multi-Specialty | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Multi-Specialty | Current | Accepting new patients |
| McLeod Medical Center-Dillon | Multi-Specialty | Current | Accepting new patients |
| Lutheran Medical Group LLC | Multi-Specialty | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Multi-Specialty | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Multi-Specialty | Current | Accepting new patients |
| McLeod Health Clarendon | Multi-Specialty | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Multi-Specialty | Current | Accepting new patients |
| Cardiology Consultants of Philadelphia, P.C. | Multi-Specialty | Current | Accepting new patients |
| McLeod Health Clarendon | Multi-Specialty | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Riverside Physician Services Inc | Multi-Specialty | Current | Accepting new patients |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
721 E Court St
Paris, IL 61944
Phone (217) 465-4141
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
207 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 361-5020
1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Interoperability endpoints
- cjohnson214544@ehrdirect.uhhospitals.org
Organizations & group practices 20
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
DC
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1649272386
Multi-Specialty
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
Multi-Specialty
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
Multi-Specialty
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
Multi-Specialty
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
Multi-Specialty
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Multi-Specialty
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
Multi-Specialty
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Rural Health Clinic/Center
- Chrisman, IL
- NPI 1447314653
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1104241595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6301",
"fax_number": "570-271-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "570-271-6301",
"fax_number": "570-271-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CODY",
"middle_name": "REID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD486964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.