Individual provider Active NPI

Timothy Lynn Johnston, DO

  • Family Medicine Physician
  • Cullowhee, NC
National Provider Identifier
1477521102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-00369 Issued in NC
Practice address
315 Wike Cemetery Rd
Cullowhee, NC 28723-9550
Phone
(828) 293-0503
Fax
(828) 293-0107
NPI assigned
Mar 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2005-00369 NC Primary

Addresses

Primary practice location

315 Wike Cemetery Rd
Cullowhee, NC 28723-9550

Mailing address

315 Wike Cemetery Rd
Cullowhee, NC 28723-9550
Phone (828) 293-0503

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000628 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9739118126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Wike Cemetery Rd
Cullowhee, NC 28723-9550
Phone (828) 293-0503

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Lynn Johnston DO PA Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: timothy.johnston@91433963814916.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477521102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WIKE CEMETERY RD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287239550",
            "telephone_number": "828-293-0503",
            "fax_number": "828-293-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WIKE CEMETERY RD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287239550",
            "telephone_number": "828-293-0503",
            "fax_number": "828-293-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "TIMOTHY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-00369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullowhee, NC

Sources for this page

Verify at the official NPI Registry.