Active NPI
Daniel Lee Johnston, M.D.
- Psychiatry Physician
- Winston Salem, NC
National Provider Identifier
1144422015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2007-00525
- Practice address
- 725 Highland Ave
Suite 100
Winston Salem, NC 27101-4180 - Phone
- (336) 607-8523
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2007-00525 | NC | Primary |
Addresses
Primary practice location
725 Highland Ave
Suite 100
Winston Salem, NC 27101-4180
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1100
Other practice location 1
917 N 4th St
Wilmington, NC 28401-3450
Phone (910) 202-8656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908022 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Servcies Inc | Psychiatry | Past | Accepting new patients |
| New River Service Authority | Past | Accepting new patients | |
| New River Service Authority | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1790807535
Psychiatry
-
- Community/Behavioral Health Agency
- Lenoir, NC
- NPI 1659532562
-
- Foster Care Agency
- Boone, NC
- NPI 1720360944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1144422015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HIGHLAND AVE",
"address_2": "SUITE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014180",
"telephone_number": "336-607-8523"
}
],
"practiceLocations": [
{
"address_1": "917 N 4th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284013450",
"country_code": "US",
"telephone_number": "910-202-8656",
"fax_number": "910-202-8680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2007-00525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908022",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.