Madison Lynn Johnston

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

104 Founders Dr
Conway, SC 29526-8658

Phone

(843) 349-2920

NPI assigned

Jul 30, 2018

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1366920647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 AMMONS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284056431",
            "telephone_number": "910-352-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FOUNDERS DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268658",
            "telephone_number": "843-349-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Dodge St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681821102",
            "country_code": "US",
            "telephone_number": "402-554-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MADISON",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Johnson, MSW
• Robert Ann Johnson, BS
• Savannah Johnson
• Tamar Lashay Johnson, MA
• Tommy Johnson Jr.
• Mac Everett Jolly, DO
• Betty A Jones, M.D.
• Donald Carter Jones, M.D.
• Lavenia Jones
• Lauren Grace Joosten, LISW-CP

• Athletic Trainer in Conway, SC
• Providers in Conway, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.