Individual provider Active NPI

Robert Ormond Johnson, FNP-C

  • Nurse Practitioner
  • Cary, NC
National Provider Identifier
1396263950
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009768 Issued in NC
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

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001970 NC Practitioner - Nurse Practitioner 8921364381 Reassigns benefits to 1 organization

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
Central Dermatology Center PAGroup PAC ID 8123006947, 31 clinicians

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

LicenseStateTypeSpecialty
5009768NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dermatology Center, PA CurrentSince Apr 6, 2026 Accepting new patients
Modern Ritual Health PC CurrentSince Mar 2, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Andrus & Associates Dermatology, PA CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.