Individual provider Active NPI

Pamela Elizabeth Johnson, ADOULT ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1437246493
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5009253 Issued in NC
Practice address
3161 Crystal Way
Miramar, FL 33025-4230
Phone
(754) 423-4611
Fax
(954) 885-9305
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5009253 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5009253 NC

Addresses

Primary practice location

3161 Crystal Way
Miramar, FL 33025-4230

Mailing address

1502 W NC Highway 54
Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

1100 NW Maynard Rd Ste 140
Cary, NC 27513-8707
Phone (984) 341-0531

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
I20170405000889 NC Practitioner - Nurse Practitioner 5193001170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swift Creek Mental Health ServicesGroup PAC ID 7214355072, 3 clinicians

Practice addresses (Care Compare)

1100 NW Maynard Rd
Suite 140
Cary, NC 27513-8707
Phone (919) 424-0062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Creek Mental Health Services Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

1100 NW Maynard Rd
Ste 140
Cary, NC 27513
Phone (919) 428-2766

10027 US 70 Hwy W
Clayton, NC 27520
Phone (919) 424-0062

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1437246493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-908-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 CRYSTAL WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254230",
            "telephone_number": "754-423-4611",
            "fax_number": "954-885-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW Maynard Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138707",
            "country_code": "US",
            "telephone_number": "984-341-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ADOULT ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5009253",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5009253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.