Individual provider Active NPI

Patricia June Johnson, M.D.

  • Family Medicine Physician
  • Robbinsville, NC
National Provider Identifier
1528064698
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21574 Issued in NC
Practice address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone
(828) 479-6434
Fax
(828) 479-2917
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 21574 NC Primary

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771-8500

Mailing address

409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434

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
I20100810000286 NC Practitioner - Family Practice 7416996236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21574NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers PastSince Mar 18, 2019 Accepting new patients

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1528064698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-6434",
            "fax_number": "828-479-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-6434",
            "fax_number": "828-479-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "21574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

Verify at the official NPI Registry.