Teresa Marie Johnson, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5010896 Issued in NC

Practice address

304 Pony Rd
Zebulon, NC 27597-2529

Phone

(919) 404-2474

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians

CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15741/brand/1/csg/1/fhir/r4
• Direct secure messaging: teresa.johnson.1@15741.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inpatient Consultants of North Carolina, PC

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1669422846
  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  NC

  Medicare reassignment Care Compare group NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  NC

  Medicare reassignment NPD
• Inpatient Consultants of North Carolina, PC

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1790173680
  NPD
• Shepherd's Care Medical Clinic

  • Primary Care Clinic/Center
  • Zebulon, NC
  • NPI 1528584588
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1154803872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 4TH AVE",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458821",
            "telephone_number": "919-274-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PONY RD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972529",
            "telephone_number": "919-404-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5010896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Myers Jacobe, FNP
• Jacquelyn Hartman, LPC, PLLC
• Jag's Residential Services, LLC
• JLP Elite Tranportation LLC
• Claudette Antoinette Johnson
• Lesli Higgins Johnston, MS/CCC-SLP
• Jones Outreach Services, LLP
• Jones Outreach Services,LLP
• Chenise T Jones
• Bobby Dante' Judd

• Adult Health Nurse Practitioner in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.

Verify at the official NPI Registry.