Curtis Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103019 Issued in NC

Practice address

420 Owen Dr
Fayetteville, NC 28304-3430

Phone

(910) 484-1210

Fax

(910) 484-1347

NPI assigned

Aug 10, 2005

Last updated

Dec 5, 2013By the provider in NPPES

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 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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NC Emergency Physician Services, PLLC

  • Emergency Medicine Physician
  • Eden, NC
  • NPI 1518374800
  Medicare reassignment
• Sampson Regional Emergency Professional Services, LLC

  • Emergency Medicine Physician
  • Clinton, NC
  • NPI 1952819575
  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  NC

  Medicare reassignment
• Carolina Coast Emergency Physicians LLC

  • Emergency Medicine Physician
  • Clinton, NC
  • NPI 1972610988
  NPD (past)
• Lumberton Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1326337163
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1245232289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043430",
            "telephone_number": "910-484-1210",
            "fax_number": "910-484-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043430",
            "telephone_number": "910-484-1210",
            "fax_number": "910-484-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST NUMBER",
            "identifier": "199270",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Johnson, FNP
• Carla Johnson, BCBA
• Carmen E. Johnson, CERTIFIED HAIR LOSS
• Chelsea Johnson
• Christian David Johnson, LMBT
• Cynthia Patrice Johnson, LCMHC, NCC
• Deangelo Latrall Johnson, RBT
• Delores Lorraine Johnson, MD
• Elizabeth Johnson
• Glen F Johnson, PA

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.