Active NPI
Tawana Johnson, DC
- Rehabilitation Chiropractor
- Greensboro, NC
National Provider Identifier
1336366228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3061
- Practice address
- 1400 Battleground Ave
Suite 150a
Greensboro, NC 27408-8042 - Phone
- (336) 272-1339
- Fax
- (336) 510-8605
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3061 | NC | Primary |
Addresses
Primary practice location
1400 Battleground Ave
Suite 150a
Greensboro, NC 27408-8042
Mailing address
PO Box 1915
Greensboro, NC 27402-1915
Phone (336) 272-1339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085JY | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3061 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1336366228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1915",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274021915",
"telephone_number": "336-272-1339",
"fax_number": "336-510-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BATTLEGROUND AVE",
"address_2": "SUITE 150A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274088042",
"telephone_number": "336-272-1339",
"fax_number": "336-510-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAWANA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NC",
"license": "3061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085JY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.