NPIMap

Organization Active NPI

Johnston Specialty Physician Services,Inc

Doing business as Johnston Health Hematology & Oncology Physician Services

  • Hematology & Oncology Physician
  • Smithfield, NC
National Provider Identifier
1649786567
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC
Doing business as
Johnston Health Hematology & Oncology Physician Services
Practice address
514 N Brightleaf Blvd Ste 1100
Smithfield, NC 27577-4487
Phone
(919) 989-2192
Fax
(919) 934-0006
NPI assigned
Dec 15, 2017
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Mrs. Angela Vick Deans
Title
PFS Director
Phone
(919) 938-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

514 N Brightleaf Blvd Ste 1100
Smithfield, NC 27577-4487

Mailing address

514 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-2192

Other practice location 1

2076 Nc Highway 42 W
Clayton, NC 27520-5302
Phone (919) 585-8835

Other practice location 2

2076 Nc Highway 42 W Ste 130
Clayton, NC 27520-5303
Phone (919) 585-8835

Other practice location 3

426 Hospital Rd
Smithfield, NC 27577-4104
Phone (919) 209-5101

Other practice location 4

514 N Brightleaf Blvd Ste 1502
Smithfield, NC 27577-4486
Phone (919) 209-5103

Other practice location 5

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-8171

Other names 2

  • Johnston Health Hematology & Oncology Physician Services Doing business as
  • Johnston Health Palliative Care Professional Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000184 NC Part B Supplier - Clinic/Group Practice 1052479979 Receives reassigned benefits from 19 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clayton, NC; Smithfield, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Johnston Specialty Physician Servicesinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11618 US Highway 70 W
Ste 202
Clayton, NC 27520
Phone (919) 359-0291

133 Glen Rd
Garner, NC 27529
Phone (919) 662-0058

509 N Brightleaf Blvd
Ste 1502
Smithfield, NC 27577
Phone (919) 989-2192

514 N Brightleaf Blvd
#1610
Smithfield, NC 27577
Phone (919) 616-5954

514 N Brightleaf Blvd
Ste 1620
Smithfield, NC 27577
Phone (919) 938-0257

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1649786567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-989-2192",
            "fax_number": "919-934-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N BRIGHTLEAF BLVD STE 1100",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774487",
            "telephone_number": "919-989-2192",
            "fax_number": "919-934-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 Nc Highway 42 W",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275205302",
            "country_code": "US",
            "telephone_number": "919-585-8835",
            "fax_number": "919-585-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2076 Nc Highway 42 W Ste 130",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275205303",
            "country_code": "US",
            "telephone_number": "919-585-8835",
            "fax_number": "919-585-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774104",
            "country_code": "US",
            "telephone_number": "919-209-5101",
            "fax_number": "919-209-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 N Brightleaf Blvd Ste 1502",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774486",
            "country_code": "US",
            "telephone_number": "919-209-5103",
            "fax_number": "919-989-2129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-934-8171",
            "fax_number": "919-989-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DEANS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "VICK",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "919-938-7155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Health Hematology & Oncology Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnston Health Palliative Care Professional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.