Individual provider Active NPI

Alisha Kelona Johnson, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1558771006
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200734 Issued in NC
Practice address
1601 Owen Dr
Fayetteville, NC 28304-3425
Phone
(910) 678-0100
Fax
(910) 678-0115
NPI assigned
May 6, 2014
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 200734 NC Primary

Addresses

Primary practice location

1601 Owen Dr
Fayetteville, NC 28304-3425

Mailing address

1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100

Other practice location 1

1738 Owen Dr Ste 110-111
Fayetteville, NC 28304-3877
Phone (833) 904-2273

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
I20170907001691 NC Practitioner - Family Practice 8123244159 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Arts Family Practice PAGroup PAC ID 3072580182, 5 clinicians

Practice addresses (Care Compare)

413 Owen Dr
Suite 201
Fayetteville, NC 28304-3490
Phone (910) 323-9111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200734NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Family Practice, PA Family Medicine CurrentSince Mar 6, 2023 Accepting new patients
Cumberland County Hospital System Inc Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Bladen Healthcare LLC CurrentSince Aug 14, 2017 Accepting new patients
Cityblock Medical Practice, P.a. Family Medicine CurrentSince Apr 3, 2024 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Bladen Healthcare, LLC CurrentSince Aug 14, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 1, 2019 Accepting new patients
Cape Fear Valley Health Medical Group LLC Family Medicine PastSince Mar 6, 2023 Accepting new patients

Locations

1106 W Seaboard St
Bladenboro, NC 28320
Phone (910) 863-3138

4444 The Plaza
Unit 18
Charlotte, NC 28215

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672

1463 Pamalee Dr
Fayetteville, NC 28303
Phone (910) 482-3000

413 Owen Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 323-9111

1738 Owen Dr
#110111
Fayetteville, NC 28304

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1307 Avon St
Fayetteville, NC 28304
Phone (910) 323-1718

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (570) 567-5400

Interoperability endpoints

  • Direct secure messaging: alisha.johnson.2@27775.direct.athenahealth.com
  • Direct secure messaging: ajohnson10218@capefearvalley.direct-ci.com
  • Direct secure messaging: alisha.johnson@mafp.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1558771006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-678-0100",
            "fax_number": "910-678-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-678-0100",
            "fax_number": "910-678-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Owen Dr Ste 110-111",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043877",
            "country_code": "US",
            "telephone_number": "833-904-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISHA",
        "middle_name": "KELONA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.