Charleston Primary

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CHARLESTON PRIMARY

Practice address

651 Meeting St Unit 211
Charleston, SC 29403-7158

Phone

(854) 276-6940

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Mitchell Johnson, MD

Title

Managing Member

Phone

(706) 255-2733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nolan Mattingly

  • Student in an Organized Health Care Education/Training Program
  • Athens, GA
  • NPI 1164125464
  NPD

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1447189394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 MEETING STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294037158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 MEETING ST UNIT 211",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294037158",
            "telephone_number": "854-276-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PRIMARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-255-2733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charleston Plastic Surgery
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• Charleston Psychiatry
• Charleston Psychodynamics LLC
• Charleston Psychodynamics LLC, Alberto B Santos MD Sole MBR
• Charleston Pulmonary Associates PA

• Diagnostic Radiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.