Douglas Thomas Johnston, DO

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

967 Issued in SC

Practice address

200 Patewood Dr Ste A140
Greenville, SC 29615-3585

Phone

(864) 454-5125

Fax

(864) 241-9201

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: djohnston122998@direct.ghs.myhfn.org

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.

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment NPD
• Asthma & Allergy Specialists, P.a.

  • Specialist
  • Charlotte, NC
  • NPI 1013093038
  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Greenville, SC
  • NPI 1215927462
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1124048079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE A140",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153585",
            "telephone_number": "864-454-5125",
            "fax_number": "864-241-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10310 Mallard Creek Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624563",
            "country_code": "US",
            "telephone_number": "704-341-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 E 7th St Unit A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282044398",
            "country_code": "US",
            "telephone_number": "704-372-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Providence Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778915",
            "country_code": "US",
            "telephone_number": "704-341-9600",
            "fax_number": "704-341-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DOUGLAS",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2011-01906",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "967",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "DO840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920097",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009671",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Johnson, M.D.
• William Paul Johnson, M.D.
• Yashika Montrel Johnson, RN
• Andrew L Johnston, LPC
• Carey Elizabeth Johnston
• Holli Kervin Johnston, NP
• Jessica Johnston
• Kristi Noelle Johnston
• Mary Smoak Johnston, DMD
• Reid F Johnstone, MD

• Allergy & Immunology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Allergy & Immunology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.