Individual provider Active NPI

Adam Gregory Johnson, M.D.

  • Radiation Oncology Physician
  • Winston Salem, NC
National Provider Identifier
1437683273
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
227512 Issued in NC
Practice address
1 Medical Center Blvd
Winston Salem, NC 27157
Phone
(336) 713-3600
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 227512 NC Primary
Internal Medicine Physician 207R00000X 227512 NC

Addresses

Primary practice location

1 Medical Center Blvd
Winston Salem, NC 27157

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7272

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20220325000241 CT Practitioner - Radiation Oncology 0042578122 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Physicians of Connecticut LLCGroup PAC ID 3274750872, 8 clinicians
Central Connecticut Radiation Oncology PCGroup PAC ID 5395847966, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 892-2777

536 Saybrook Rd
Middletown, CT 06457-4783
Phone (860) 358-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Physicians of Connecticut, LLC Radiation Oncology CurrentSince Aug 16, 2024 Accepting new patients
Central Connecticut Radiation Oncology PC Radiation Oncology CurrentSince Mar 15, 2022 Accepting new patients
Central Connecticut Radiation Oncology PC Radiation Oncology CurrentSince Mar 15, 2022 Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

435 Lewis Ave
Ste 205
Meriden, CT 06451
Phone (203) 757-8361

536 Saybrook Rd
#C
Middletown, CT 06457
Phone (860) 358-2100

760 Saybrook Rd
Bldg A
Middletown, CT 06457

536 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2100

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

183 N Mountain Rd
New Britain, CT 06053
Phone (860) 827-4161

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: adam.johnson2@xdr.hhchealthdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1437683273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7272",
            "fax_number": "336-832-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27157",
            "telephone_number": "336-713-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-7272",
            "fax_number": "336-832-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADAM",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "227512",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "227512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.