Active NPI
Dara McLean Johnston, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209615
- Practice address
- 2080B W Arlington Blvd Ste B
Greenville, NC 27834 - Phone
- (252) 752-2140
- Fax
- (252) 689-6502
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209615 | NC | Primary |
Addresses
Primary practice location
2080B W Arlington Blvd Ste B
Greenville, NC 27834
Mailing address
2080B W Arlington Blvd Ste B
Greenville, NC 27834-5779
Phone (252) 752-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209615 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1609130889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080B W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345779",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080B W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DARA",
"middle_name": "MCLEAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "209615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.