Jeffrey Johnson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9600315 Issued in NC

Practice address

1405 Timber Dr E
Garner, NC 27529-6926

Phone

(919) 779-6423

Fax

(919) 662-2021

NPI assigned

Jul 11, 2006

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Male

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jeffreyjohnson@rpapa.allscriptsdirect.net

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.

• Raleigh Pediatric Associates, PA

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1508941535
  Medicare reassignment

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1396770384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FALLS VALLEY DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153446",
            "telephone_number": "919-872-0250",
            "fax_number": "919-848-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TIMBER DR E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296926",
            "telephone_number": "919-779-6423",
            "fax_number": "919-662-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9600315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jennings
• JJ Home Care LLC
• JJ Home Care LLC
• Johnson Optometric Associates PA
• Jasmine N Johnson, MA ,LCMHC
• Taylor Johnson
• Johnsons Family Pharmacy and Compounding LLC (Johnson's Family Pharmacy)
• Johnston Memorial Hospital Authority (Johnston Memorial Quikmed II)
• Johnston Memorial Quik Med II
• Destiny Jones

• Pediatrics Physician in Garner, NC
• Providers in Garner, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.