Alison Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1121199 Issued in SC

Practice address

1910 Gregg St
Columbia, SC 29201-2618

Phone

(803) 779-1420

Fax

(803) 931-0676

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 5 PCGroup PAC ID 8325372881, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pai Participant 5 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Coventry, RI
  • NPI 1194381947

  SC

  Medicare reassignment Care Compare group NPD
• Newberry Family Health Center PA

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1750367405
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1316030083
  Care Compare affiliation

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1639572308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 GREGG ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012618",
            "telephone_number": "803-779-1420",
            "fax_number": "803-931-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1121199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BOARD CERTIFICATION",
            "identifier": "1121199",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson & O'Donovan, Inc
• Aiyanna Johnson, MSN, APRN, FNP-BC
• Ajaylyn Janay Johnson
• Akira Johnson, COSMETOLOGIST
• Alexandra Johnson
• Allison Johnson
• Andrea Marie Johnson
• Andrew T. Johnson, D.M.D.
• Angel G Johnson, MA, LPC, LPCS, LCMHC
• Annmarie Johnson, FNP

• Medical Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.

Verify at the official NPI Registry.