NPIMap

Individual provider Active NPI

Carrie Johnson, MD

  • Internal Medicine Physician
  • Duncan, SC
National Provider Identifier
1124401237
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82360 Issued in SC
Practice address
500 Squires PT Ste a
Duncan, SC 29334-8867
Phone
(864) 968-5126
Fax
(864) 968-5128
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 82360 SC
Internal Medicine Physician 207R00000X 82360 SC Primary

Addresses

Primary practice location

500 Squires PT Ste a
Duncan, SC 29334-8867

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

398 The Pkwy
Greer, SC 29650-4569
Phone (864) 877-9577

Other identifiers 1

IdentifierTypeStateIssuer
823602MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson265911@direct.ghs.myhfn.org Direct
Direct Messaging Address cjohnson282772@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004001064 SC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7012203524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

398 The Pkwy
Greer, SC 29650-4569
Phone (864) 877-9577

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince May 1, 2025 Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 3, 2019 Accepting new patients
Spartanburg Medical Center CurrentSince May 1, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 3, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

500 Squires Pt
#A
Duncan, SC 29334
Phone (864) 433-8980

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

398 The Pkwy
Greer, SC 29650
Phone (864) 877-9577

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • Direct secure messaging: cjohnson282772@direct-srhs.et0939.epichosted.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1124401237",
    "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": "500 SQUIRES PT STE A",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293348867",
            "telephone_number": "864-968-5126",
            "fax_number": "864-968-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 The Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504569",
            "country_code": "US",
            "telephone_number": "864-877-9577",
            "fax_number": "864-877-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARRIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "82360",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "82360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823602",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson265911@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cjohnson265911@direct.ghs.myhfn.org",
            "address_1": "2400 Boiling Springs Rd Ste A",
            "city": "Boiling Springs",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293165304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson282772@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cjohnson282772@direct-srhs.et0939.epichosted.com",
            "address_1": "398 The Pkwy",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296504569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duncan, SC

Sources for this page

Verify at the official NPI Registry.