Active NPI
John Johnston, M.D.
- Family Medicine Physician
- Walterboro, SC
National Provider Identifier
1346283421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6359
- Practice address
- 107 Church St
Walterboro, SC 29488-2901 - Phone
- (843) 549-1558
- Fax
- (843) 549-1454
- NPI assigned
- Jun 14, 2006
- Last updated
- Nov 9, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6359 | SC | Primary |
Addresses
Primary practice location
107 Church St
Walterboro, SC 29488-2901
Mailing address
107 Church St
Walterboro, SC 29488-2901
Phone (843) 549-1558
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walterboro Family Practice Associates, P.a. | Family Medicine | Current | Accepting new patients |
Locations
107 Church St
Walterboro, SC 29488
Phone (803) 549-1558
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Walterboro, SC
- NPI 1871532721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1346283421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHURCH ST",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882901",
"telephone_number": "843-549-1558",
"fax_number": "843-549-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHURCH ST",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882901",
"telephone_number": "843-549-1558",
"fax_number": "843-549-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "6359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.