Individual provider Active NPI

Claudia Milena Johnson, ARNP, FNP- BC

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1366956393
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26294 Issued in SC
Practice address
2 Bella Grove Dr
Greenville, SC 29607-3459
Phone
(864) 603-5600
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ARNP9311552 FL
Family Nurse Practitioner 363LF0000X 26294 SC Primary

Addresses

Primary practice location

2 Bella Grove Dr
Greenville, SC 29607-3459

Mailing address

200 Chinook Dr
Greenville, SC 29607-5169
Phone (786) 383-7721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20240926001315 SC Practitioner - Nurse Practitioner 1254872500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Affiliate PhysiciansGroup PAC ID 6305241027, 48 clinicians

Practice addresses (Care Compare)

2 Bella Grove Dr
Greenville, SC 29607-3459
Phone (864) 603-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9311552FLMDFamily Medicine Physician
26294SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Sep 1, 2024 Accepting new patients
University Medical Associates Past Accepting new patients
Musc Affiliate Physicians Family Medicine PastSince May 25, 2021 Accepting new patients

Locations

2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

312 Harrison Bridge Rd
Ste B
Simpsonville, SC 29680
Phone (864) 603-5600

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

Interoperability endpoints

  • Direct secure messaging: claudia.johnson@bmpdbpc.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1366956393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHINOOK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075169",
            "telephone_number": "786-383-7721",
            "fax_number": "786-383-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BELLA GROVE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073459",
            "telephone_number": "864-603-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLAUDIA",
        "middle_name": "MILENA",
        "credential": "ARNP, FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9311552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.