Active NPI
Robert Edward Johnson, PA-C
- Physician Assistant
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02065
- Practice address
- 2280 US Highway 70 SE
Hickory, NC 28602-5164 - Phone
- (828) 267-1201
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9102838 | FL | |
| Medical Physician Assistant | 363AM0700X | 0010-02065 | NC | |
| Physician Assistant | 363A00000X | 0010-02065 | NC | Primary |
| Medical Physician Assistant | 363AM0700X | 005331 | GA | |
| Physician Assistant | 363A00000X | 9102838 | FL |
Addresses
Primary practice location
2280 US Highway 70 SE
Hickory, NC 28602-5164
Mailing address
308 Praley St NW
Valdese, NC 28690-2328
Phone (321) 297-7115
Other practice location 1
126 S Nova Rd
Ormond Beach, FL 32174-6115
Phone (386) 673-9949
Other practice location 2
1860 Renzulli Rd
New Smyrna Beach, FL 32168-1726
Phone (386) 663-3061
Other practice location 3
800 N Stone St
Deland, FL 32720-3256
Phone (386) 261-8608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578
1361 Klumac Rd
Salisbury, NC 28147-9086
Phone (704) 603-1175
160 Hendersonville Rd
Asheville, NC 28803-2680
Phone (828) 210-2835
1903 Addison Ave
Wilkesboro, NC 28697-2262
Phone (336) 667-2710
210 Turnersburg Hwy
Suite C
Statesville, NC 28625-2797
Phone (704) 924-4740
295 Williamson Rd
Suite a
Mooresville, NC 28117-8269
Phone (980) 444-2003
314 Blowing Rock Blvd
Lenoir, NC 28645-4406
Phone (828) 237-2287
440 Tyvola Rd
Charlotte, NC 28217-3560
Phone (704) 228-1784
511 Smokey Park Hwy
Candler, NC 28715-8613
Phone (828) 365-1088
695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
77 W Granada Blvd
Ormond Beach, FL 32174-6302
Phone (904) 677-0453
825 Blowing Rock Blvd
Suite B
Lenoir, NC 28645-3709
Phone (828) 991-0999
955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990
Hospital & facility affiliations
- Enhabit Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102838 | FL | MD | Physician Assistant |
| 0010-02065 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group Inc | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients | |
| Winnebago Indian Health Service | Past | Accepting new patients | |
| Southland Emergency Medical Services, L.L.C | Past | Accepting new patients |
Locations
2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
-
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Family Medicine Physician
- Ormond Beach, FL
- NPI 1326254962
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1033352372
-
- Basic Emergency Medical Technician
- New Smyrna Beach, FL
- NPI 1801126297
-
- Emergency Medicine Physician
- Morganton, NC
- NPI 1811244726
-
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
- Family Medicine Physician
- Marion, NC
- NPI 1801120654
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1477701472
-
- General Acute Care Hospital
- Winnebago, NE
- NPI 1659392454
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Helena, MT
- NPI 1043803828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1609969674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 PRALEY ST NW",
"city": "VALDESE",
"state": "NC",
"postal_code": "286902328",
"telephone_number": "321-297-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 US HIGHWAY 70 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286025164",
"telephone_number": "828-267-1201"
}
],
"practiceLocations": [
{
"address_1": "126 S Nova Rd",
"address_purpose": "LOCATION",
"city": "Ormond Beach",
"state": "FL",
"postal_code": "321746115",
"country_code": "US",
"telephone_number": "386-673-9949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1860 Renzulli Rd",
"address_purpose": "LOCATION",
"city": "New Smyrna Beach",
"state": "FL",
"postal_code": "321681726",
"country_code": "US",
"telephone_number": "386-663-3061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 N Stone St",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327203256",
"country_code": "US",
"telephone_number": "386-261-8608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9102838",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-02065",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02065",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "005331",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9102838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.