Macy Johnson Dickson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5014866 Issued in NC

Practice address

160 River Bend Dr Ste a
Granite Falls, NC 28630-9371

Phone

(828) 757-5060

NPI assigned

Aug 11, 2021

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Macy Renee' Johnson Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
• Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjohnson300756@direct.unc.nchie.net

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.

• Caldwell Memorial Hospital, Inc

  dba Robbins Cardiology

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1477839108
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc.

  dba UNC Health Hickory Medical Park

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1417661976
  Medicare reassignment NPD
• Caldwell Memorial Hospital Inc.

  dba UNC Health Caldwell Radiology Associates

  • Diagnostic Radiology Physician
  • Lenoir, NC
  • NPI 1255221180
  NPD
• Caldwell Memorial Hospital, Inc.

  dba RiverCrest Medical Park

  • Internal Medicine Physician
  • Lenoir, NC
  • NPI 1417483728
  NPD
• Caldwell Memorial Hospital, Inc

  dba Mulberry Pediatrics

  • Pediatrics Physician
  • Lenoir, NC
  • NPI 1922013457
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caldwell Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Lenoir, NC
  • NPI 1114974029
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1356016497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LOWER CREEK DR NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286454433",
            "telephone_number": "828-612-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE A",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309371",
            "telephone_number": "828-757-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "MACY",
        "middle_name": "JOHNSON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjohnson300756@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "160 River Bend Dr Ste A",
            "city": "Granite Falls",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286309371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACY",
            "last_name": "JOHNSON",
            "middle_name": "RENEE'",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Berry Crouch, PA
• Hannah Grace Crowder, OTR/L
• Crown Health Care PA (Granite Falls Primary Care Physicians)
• Evan Blake Deboard
• Debra G Hawn
• Malinda Diffenbaugh, LPN
• Kerri Dilsaver, MA,CCC-SLP
• Terry Clanton Dodds, MD
• Holly Pruett Duncan, CPNP
• Edward J. Bujold MD (Granite Falls Family Medical Center)

• Family Nurse Practitioner in Granite Falls, NC
• Providers in Granite Falls, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.

Verify at the official NPI Registry.