Active NPI
Robert Ormond Johnson, FNP-C
- Nurse Practitioner
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009768
- Practice address
- 110 Preston Executive Dr Ste 100
Cary, NC 27513-8447 - Phone
- (919) 653-1344
- Fax
- (919) 463-0920
- NPI assigned
- Sep 5, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009768 | NC | |
| Nurse Practitioner | 363L00000X | 5009768 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 256635 | NC |
Addresses
Primary practice location
110 Preston Executive Dr Ste 100
Cary, NC 27513-8447
Mailing address
2238 Nelson Hwy Ste 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994
Other practice location 1
2238 Nelson Hwy Ste 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994
Other practice location 2
1212 Cedarhurst Dr Ste 102
Raleigh, NC 27609-5588
Phone (919) 782-2735
Other practice location 3
104 Ukiah Ln
Chapel Hill, NC 27514-1474
Phone (866) 438-6712
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Preston Executive Dr
Suite 108
Cary, NC 27513-8447
Phone (919) 653-1344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009768 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dermatology Center, PA | Current | Accepting new patients | |
| Modern Ritual Health PC | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Andrus & Associates Dermatology, PA | Current | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
110 Preston Executive Dr
Ste 108
Cary, NC 27513
Phone (919) 653-1344
110 Preston Executive Dr
Ste 100
Cary, NC 27513
Phone (919) 653-1344
2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
3809 Computer Dr
Ste 200
Raleigh, NC 27609
Phone (919) 782-3782
1212 Cedarhurst Dr
Ste 102
Raleigh, NC 27609
Phone (919) 431-9911
200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330
Interoperability endpoints
- johro@pinehurstderm.emadirect.md
Organizations & group practices 6
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.
-
- Dermatology Physician
- Chapel Hill, NC
- NPI 1568424299
-
- Dermatology Physician
- Raleigh, NC
- NPI 1346290590
-
- Dermatology Physician
- Chapel Hill, NC
- NPI 1215615448
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
dba Pinehurst Medical Clinic Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Pinehurst, NC
- NPI 1356421853
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1396263950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 NELSON HWY STE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178914",
"telephone_number": "919-401-1994",
"fax_number": "919-401-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PRESTON EXECUTIVE DR STE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275138447",
"telephone_number": "919-653-1344",
"fax_number": "919-463-0920"
}
],
"practiceLocations": [
{
"address_1": "2238 Nelson Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275178914",
"country_code": "US",
"telephone_number": "919-401-1994",
"fax_number": "919-401-1924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1212 Cedarhurst Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276095588",
"country_code": "US",
"telephone_number": "919-782-2735",
"fax_number": "919-782-2839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Ukiah Ln",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275141474",
"country_code": "US",
"telephone_number": "866-438-6712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "ORMOND",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009768",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009768",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "256635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.