Robert William Johnson, P.A.- C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02767 Issued in NC

Practice address

404 Hatfield CT
Lumberton, NC 28358-1126

Phone

(910) 738-3358

Fax

(910) 738-9174

NPI assigned

Feb 10, 2011

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.02 of 100Reported as group

Quality

73

Promoting interoperability

94

Improvement activities

40

Cost

82.08

Merit-based Incentive Payment System (MIPS)

Final score

74.09 of 100Reported as group

Quality

65.78

Improvement activities

40

Cost

76.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  Medicare reassignment Care Compare group
• Allen Orthopedics P a

  • Specialist
  • Lumberton, NC
  • NPI 1912197237
  Medicare reassignment
• MCPC-8, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1922552322
  Medicare reassignment
• MCPC-8, LLC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1033885249
  NPD
• MCPC-8, LLC

  • Family Medicine Physician
  • Sanford, NC
  • NPI 1073009825
  NPD
• Fastmed Primary Care, P.C.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1912774423
  NPD (past)
• Lumberton Emergency Medical Associates PC

  • Emergency Medicine Physician
  • Lumberton, NC
  • NPI 1326337163
  NPD (past)
• MCPC-8, LLC

  • Family Medicine Physician
  • Raeford, NC
  • NPI 1437418142
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1457657348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 PINEDALE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582101",
            "telephone_number": "716-310-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HATFIELD CT",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283581126",
            "telephone_number": "910-738-3358",
            "fax_number": "910-738-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "P.A.- C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson & Johnson Doctors of Optometry, PA
• Allsion Dawn Johnson, SLP
• Deangila Jenall Johnson, CADC-R
• Larissa Lynn Johnson
• Richard D. Johnson, M.D.
• Caroline Jolicoeur
• Trevor Augustus Jolly, M.D.
• Brittany Sierra Jones, MSW, LCSWA
• Christina C Jones, FNP-C
• Jordan Pauline Jones, ATC

• Physician Assistant in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.