Individual provider Active NPI

Alison Johnson, PA-C

  • Medical Physician Assistant
  • Newberry, SC
National Provider Identifier
1639572308
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1121199 Issued in SC
Practice address
2306 Harrington St Ste 1
Newberry, SC 29108-3088
Phone
(803) 321-3035
Fax
(803) 331-3034
NPI assigned
Oct 8, 2014
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1121199 SC Primary

Addresses

Primary practice location

2306 Harrington St Ste 1
Newberry, SC 29108-3088

Mailing address

1910 Gregg St
Columbia, SC 29201-2618
Phone (803) 779-1420

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150331001640 SC Practitioner - Physician Assistant 7113244138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

1330 Kinard St
Newberry, SC 29108-3038
Phone (803) 405-1585

2555 Kinard St
Newberry, SC 29108-2954
Phone (803) 276-6060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1121199SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 5 PC CurrentSince Aug 24, 2025 Accepting new patients

Locations

2555 Kinard St
Newberry, SC 29108
Phone (803) 276-6060

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "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": "2306 HARRINGTON ST STE 1",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083088",
            "telephone_number": "803-321-3035",
            "fax_number": "803-331-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1121199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.