Clifford Paul Johnson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

9501288 Issued in NC

Practice address

50 Hospital Dr
Suite 2a
Hendersonville, NC 28792-5244

Phone

(828) 654-6015

Fax

(828) 687-6058

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

University of Minnesota Medical School, 1985

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

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023
• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017
• Advent Health Polk Hospital, Columbus, NC, CCN 341322

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjohnson659595@adventhealth.direct-ci.com

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.

• Fletcher Hospital Inc.

  • Rural Acute Care Hospital
  • Hendersonville, NC
  • NPI 1427075027
  Medicare reassignment Care Compare group NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Urology

  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Fletcher Hospital Inc

  • Rural Health Clinic/Center
  • Saluda, NC
  • NPI 1376371880
  NPD
• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  NPD (past)

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

• Fletcher Hospital Inc

  • Critical Access Hospital
  • Columbus, NC
  • NPI 1891523718
  Care Compare affiliation
• Fletcher Hospital Inc.

  • Rural Acute Care Hospital
  • Hendersonville, NC
  • NPI 1427075027
  Care Compare affiliation
• Fletcher Hospital Inc.

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1477995124

  Hospital

  Care Compare affiliation
• Henderson County Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1174579940",
    "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": "828-687-5616",
            "fax_number": "828-687-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR",
            "address_2": "SUITE 2A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925244",
            "telephone_number": "828-654-6015",
            "fax_number": "828-687-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLIFFORD",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9501288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946064",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01030030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda McGuire Johnson, ANP
• Amy L Johnson, LCSW, LCAS
• Andrea Johnson, PHARMD
• Anthony Johnson
• Brent Henry Johnson, CRNA
• Daniel Sloan Johnson, MD
• Deana Johnson
• Kayla Johnson
• Sarah Kelli Johnson, P.A.
• Tiffany M Johnson, RN

• Urology Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.