Charles Johnson, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14695 Issued in NC

Practice address

1003 12TH St
Butner, NC 27509-1626

Phone

(919) 575-2532

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Vicki Bryant Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649375064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E POINTE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277129488",
            "telephone_number": "919-620-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 12TH ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091626",
            "telephone_number": "919-575-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "14695",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "14695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "BRYANT",
            "prefix": "MRS.",
            "credential": "EXECUTIVE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• April Hurst, NP
• Ariana Nesbit Huselid, MD
• Chameka Jackson, MSSA, PLCSW
• Chenita Jackson, LCWSA
• Danuta Jagla-Schudel, M.D.
• Karen W. Johnston, PHARMD
• Brandon Anthony Jones, NP-C
• Martha Jones
• Karen Jordan, RPH
• Taneisha Jordan

• Internal Medicine Physician in Butner, NC
• Providers in Butner, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.