Stephanie Susan Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2416 Issued in SC

Practice address

906 Prince St
Georgetown, SC 29440-3550

Phone

(843) 527-8118

Fax

(843) 527-8767

NPI assigned

Nov 22, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Counseling Center of Georgetown

  • Counselor
  • Georgetown, SC
  • NPI 1497724280
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366425514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403550",
            "telephone_number": "843-527-8118",
            "fax_number": "843-527-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403550",
            "telephone_number": "843-527-8118",
            "fax_number": "843-527-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jefferson
• Emily Kate Jenkins, CPNP
• John a. Miller, DMD, LLC
• Jay Thomas Johnson, DO
• Owen Cannon Johnson, O.D.
• Heather Elizabeth Jones, PTA
• Tara Jones, LMSW
• Kenneth Wesley Jordan, DC
• Joseph and Berson LLC
• Joseph and Joseph P.a.

• All providers in Georgetown, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.