Individual provider Active NPI

Christian William Johnson, PA-C

  • Physician Assistant
  • Brevard, NC
National Provider Identifier
1174230189
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12757 Issued in NC
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

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627002527 NC Practitioner - Physician Assistant 8820456528 Reassigns benefits to 1 organization

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
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

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 Hospital, Hendersonville, NC, CCN 340023
  • Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-12757NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Jul 2, 2023 Accepting new patients
Fletcher Hospital Inc CurrentSince Jul 2, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.