Individual provider Active NPI

May PA Tha Johnson

  • Family Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1285427609
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022230 Issued in NC
Practice address
2702 Farrell Rd
Sanford, NC 27330-6505
Phone
(919) 776-9602
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5022230 NC Primary

Addresses

Primary practice location

2702 Farrell Rd
Sanford, NC 27330-6505

Mailing address

217 Umstead St
Sanford, NC 27330-9790

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250728001039 NC Practitioner - Nurse Practitioner 2365959178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

202 Jefferson St
Sanford, NC 27330-5636
Phone (919) 842-5190

212 S Tryon St
Suite 100
Charlotte, NC 28281-0033
Phone (931) 253-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 4, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Sep 22, 2025 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Aug 4, 2025 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Aug 4, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1515 Mockingbird Ln
Ste 420
Charlotte, NC 28209
Phone (310) 230-5984

212 S Tryon St
Ste 100
Charlotte, NC 28281

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1285427609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 UMSTEAD ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 FARRELL RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306505",
            "telephone_number": "919-776-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAY PA THA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.