NPIMap

Organization Active NPI

Johnston Specialty Physician Services,Inc

  • Infectious Disease Physician
  • Smithfield, NC
National Provider Identifier
1184880197
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC
Practice address
514 N Brightleaf Blvd
Suite 1610
Smithfield, NC 27577-4407
Phone
(919) 934-8171
NPI assigned
Jul 30, 2008
Organization subpart
Yes
Parent organization
JOHNSTON MEMORIAL HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Mr. Stephen P Sawyer
Title
VP & Cfo
Phone
(919) 938-7128

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

514 N Brightleaf Blvd
Suite 1610
Smithfield, NC 27577-4407

Mailing address

PO Box 1570
Smithfield, NC 27577-1570
Phone (919) 938-7442

Other names 1

  • Johnston Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000184 NC Part B Supplier - Clinic/Group Practice 1052479979 Receives reassigned benefits from 19 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clayton, NC; Smithfield, NC

National Provider Directory

National Provider Directory
Part of
Johnston Memorial Hospital

Locations

2076 Veterans Pkwy
Ste 300
Clayton, NC 27520
Phone (919) 585-8835

507 N Brightleaf Blvd
Ste 1702
Smithfield, NC 27577

514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192

Ownership & related parties

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1184880197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771570",
            "telephone_number": "919-938-7442",
            "fax_number": "919-934-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 1610",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-934-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSTON MEMORIAL HOSPITAL AUTHORITY",
        "enumeration_date": "2008-07-30",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "919-938-7128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.