Michael Gwynne Johnston, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101236832 Issued in VA

Practice address

620 John Paul Jones Cir
NMCP - Dept of General Surgery
Portsmouth, VA 23708-2111

Phone

(757) 953-2516

Fax

(757) 953-0845

NPI assigned

Nov 19, 2005

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 names 1

• Michael G Johnston Other name

Medicare fee-for-service enrollment

Enrolled in VA

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjohnston990171@direct.sentara.net

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.

• Dominion Health Medical Assoc.

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment
• Dominion Health Medical Assoc

  • Cardiovascular Disease Physician
  • South Boston, VA
  • NPI 1356138879
  NPD
• Morehead Memorial Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Eden, NC
  • NPI 1639464605
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  NPD
• Unc Rockingham Health Care, Inc.

  • Hospitalist Physician
  • Eden, NC
  • NPI 1275010043

  Surgery

  NPD
• Unc Rockingham Health Care, Inc.

  • General Acute Care Hospital
  • Eden, NC
  • NPI 1326048810
  NPD
• Unc Rockingham Health Care, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mayodan, NC
  • NPI 1538664099
  NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  NPD

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1275515652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348158",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "NMCP - DEPT OF GENERAL SURGERY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-2516",
            "fax_number": "757-953-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Godwin Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348158",
            "country_code": "US",
            "telephone_number": "757-934-4222",
            "fax_number": "757-934-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2232 Wilborn Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245921662",
            "country_code": "US",
            "telephone_number": "434-517-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "GWYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101236832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOHNSTON",
            "middle_name": "G",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Lynn Johnson, M.D.
• Shawn Johnson, DO
• Susan Deana Johnson, DDS
• Tisheka Monay Johnson
• Yolanda Ann Johnson, PA-C
• Tullia Valentina Johnston, DO
• Mikiko Joiner, DDS
• Cheryl Anne Jolly, RN
• Myria Jones-Gainey, LCSW
• Bernadette Marie Jones

• Surgery Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.