Active NPI
Christian William Johnson, PA-C
- Physician Assistant
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12757
- Practice address
- 123 E Main St
Brevard, NC 28712-4481 - Phone
- (828) 209-5330
- Fax
- (828) 209-5329
- NPI assigned
- Oct 31, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-12757 | NC | Primary |
Addresses
Primary practice location
123 E Main St
Brevard, NC 28712-4481
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698
Other practice location 1
582 Talley Rd
Hendersonville, NC 28739-9491
Phone (828) 284-5998
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
123 E Main St
Suite 102
Brevard, NC 28712-4520
Phone (828) 209-5330
27 Doctors Dr
Hendersonville, NC 28792-7209
Phone (828) 687-3863
271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905
50 Doctors Dr
Hendersonville, NC 28792-7209
80 Doctors Dr
Hendersonville, NC 28792-7289
81 Doctors Dr
Hendersonville, NC 28792-7209
Phone (828) 650-6681
Hospital & facility affiliations
- Adventhealth Hendersonville
- Pardee Hospital Henderson County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-12757 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Fletcher Hospital Inc | Current | Accepting new patients |
Locations
123 E Main St
Ste 102
Brevard, NC 28712
Phone (828) 209-5330
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
Interoperability endpoints
- cjohnson1757775@adventhealth.direct-ci.com
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.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Family Medicine Physician
- Arden, NC
- NPI 1396041075
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1174230189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E MAIN ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124481",
"telephone_number": "828-209-5330",
"fax_number": "828-209-5329"
}
],
"practiceLocations": [
{
"address_1": "582 Talley Rd",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287399491",
"country_code": "US",
"telephone_number": "828-284-5998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTIAN",
"middle_name": "WILLIAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.