Active NPI
Kristen C Johnson
- Physician Assistant
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1310
- Practice address
- Beaufort Memorial Lowcountry Medical Group
300 Midtown Drive
Beaufort, SC 29906-5200 - Phone
- (843) 770-0404
- Fax
- (844) 296-2309
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1310 | SC | Primary |
Addresses
Primary practice location
Beaufort Memorial Lowcountry Medical Group
300 Midtown Drive
Beaufort, SC 29906-5200
Mailing address
955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-5674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0673PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404
989 Ribaut Rd
Beaufort, SC 29902-5472
Hospital & facility affiliations
- Beaufort County Memorial Hospital
- Hampton Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Physician Assistant | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Beaufort Emergency Medicine, PA | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
Interoperability endpoints
- kristen.johnson.1@16436.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Rural Health Clinic/Center
- Varnville, SC
- NPI 1033175344
Physician Assistant
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
-
- Certified Registered Nurse Anesthetist
- Beaufort, SC
- NPI 1467423178
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1659460004
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Rural Acute Care Hospital
- Varnville, SC
- NPI 1487651949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1336300078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 RIBAUT RD",
"address_2": "BMAC CREDENTIALING",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025441",
"telephone_number": "843-522-5674",
"fax_number": "843-522-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEAUFORT MEMORIAL LOWCOUNTRY MEDICAL GROUP",
"address_2": "300 MIDTOWN DRIVE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299065200",
"telephone_number": "843-770-0404",
"fax_number": "844-296-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTEN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0673PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.