Johnston Surgical Associates, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JOHNSTON SURGICAL ASSOCIATES, PA

Practice address

712 Wilkins St
Suite D
Smithfield, NC 27577-4664

Phone

(919) 934-2360

Fax

(919) 934-0745

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Judy T Lassiter

Title

Office Manager

Phone

(919) 934-2360

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396797361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WILKINS ST",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-934-2360",
            "fax_number": "919-934-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WILKINS ST",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-934-2360",
            "fax_number": "919-934-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-934-2360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890228A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0228A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnston Specialty Physician Services, Inc. (Johnston Medical Associates Gastroenterology)
• Johnston Specialty Physician Services, Inc. (Johnston Medical Associates Specialty Services)
• Johnston Specialty Physician Services,Inc (Johnston Medical Associates)
• Johnston Specialty Physician Services,Inc (Johnston Health Hematology & Oncology Physician Services)
• Johnston Specialty Physician Services,Inc (Johnston Medical Associates Cardiology)
• Leola Dawn Jones, RN
• Loryn Jones, MSW, LCSWA
• Melissa Gwyn Jones, MS, CCC-SLP
• Meredith Balsam Jones, LCSW
• Mia Jones, P.A.

• Surgery Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.