Warren Charles Johnson III, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2014-02019 Issued in NC

Practice address

300 Medical Pavilion Dr
Suite 150
Raeford, NC 28376-0019

Phone

(910) 904-8025

Fax

(910) 615-9751

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wjohnson82803@firsthealth.direct-ci.net
• Direct secure messaging: wjohnson10231@capefearvalley.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.

• Cfvhs Ed Physicians

  • Emergency Medicine Physician
  • Fayetteville, NC
  • NPI 1215931589
  Medicare reassignment NPD
• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• Hoke Healthcare, LLC

  • Clinic/Center
  • Raeford, NC
  • NPI 1114277035
  Medicare reassignment NPD
• Living Well Pediatrics, PC

  • Pediatrics Physician
  • Pinehurst, NC
  • NPI 1669171369
  NPD Authorized official
• FHPG, LLC

  • Family Medicine Physician
  • Lillington, NC
  • NPI 1760329486
  Medicare reassignment
• Cfvhs Ed Physicians

  • Emergency Medicine Physician
  • Raeford, NC
  • NPI 1790183184
  NPD
• Cumberland County Hospital System Inc

  • Rural Health Clinic/Center
  • Raeford, NC
  • NPI 1447255328

  Family Medicine

  NPD
• Cumberland County Hospital System Inc

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Ellerbe, NC
  • NPI 1336154129
  NPD
• FHPG, LLC

  • Specialist
  • Troy, NC
  • NPI 1346279445
  NPD
• FHPG, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1942196035
  NPD
• Hoke Healthcare LLC

  • General Acute Care Hospital
  • Raeford, NC
  • NPI 1750788238
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1245232123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "address_2": "ATTN: MANAGED CARE PLANNING DEPT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-904-8025",
            "fax_number": "910-615-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PAVILION DR",
            "address_2": "SUITE 150",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760019",
            "telephone_number": "910-904-8025",
            "fax_number": "910-615-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WARREN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2000167444",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-02019",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2014-02019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205099906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jireh'S Home Care Agency, Inc.
• Donald Richard Johnson Jr., DDS
• Jennifer L Johnson
• Kelis Johnson
• Kenya Johnson
• Annette Jones, LCMHC-A
• Eva Jones, LCMHC 12376
• Joy Journey Professional Counseling & Life Coach, ,PLLC
• Chelcie Kaluzny, APRN, FNP-C
• Karen L Smith MD, PA

• Pediatrics Physician in Raeford, NC
• Providers in Raeford, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.