Individual provider Active NPI

Allison Evans Johnson, M.D.

  • Surgery Physician
  • Clyde, NC
National Provider Identifier
1649460049
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2013-01929 Issued in NC
Practice address
40 Brettwood Trce
Clyde, NC 28721-8021
Phone
(828) 456-8633
Fax
(828) 452-2792
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T-2041 MS
Surgery Physician 208600000X 2013-01929 NC Primary

Addresses

Primary practice location

40 Brettwood Trce
Clyde, NC 28721-8021

Mailing address

40 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 456-8633

Other practice location 1

262 LeRoy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311

Other names 1

  • Dr. Katherine Allison Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001766 NC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8022244730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

15 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 452-9700

262 Leroy George Dr
Clyde, NC 28721-7430

40 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 456-8633

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision21
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-2041MSMDSurgery Physician
2013-01929NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients
DLP Western Carolina Physician Practices LLC Surgery CurrentSince Aug 1, 2014 Accepting new patients
Haywood Women'S Medical Center, PA Past Accepting new patients
DLP Haywood Regional Medical Center LLC Past Accepting new patients

Locations

40 Brettwood Trce
Clyde, NC 28721
Phone (828) 452-3110

262 Leroy George Dr
Ste 0
Clyde, NC 28721

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: allison.johnson.1@9865.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1649460049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-456-8633",
            "fax_number": "828-452-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-456-8633",
            "fax_number": "828-452-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 LeRoy George Dr",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287217430",
            "country_code": "US",
            "telephone_number": "828-456-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALLISON",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "T-2041",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2013-01929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSON",
            "middle_name": "ALLISON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.