Organization Active NPI

Johnson Neurological Clinic

  • Neurology Physician
  • Asheboro, NC
National Provider Identifier
1659584480
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JOHNSON NEUROLOGICAL CLINIC
Practice address
223 W Ward St
Asheboro, NC 27203-5423
Phone
(336) 629-3500
Fax
(336) 629-3521
NPI assigned
May 8, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNSON NEUROLOGICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Joseph Keith Miller, MD
Title
Ceo
Phone
(336) 889-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

223 W Ward St
Asheboro, NC 27203-5423

Mailing address

606 N Elm St
High Point, NC 27262-4332
Phone (336) 889-8877

Other identifiers 1

IdentifierTypeStateIssuer
8901790MedicaidNC

National Provider Directory

National Provider Directory
Part of
Johnson Neurological CL

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1659584480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624332",
            "telephone_number": "336-889-8877",
            "fax_number": "336-889-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W WARD ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035423",
            "telephone_number": "336-629-3500",
            "fax_number": "336-629-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON NEUROLOGICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON NEUROLOGICAL CLINIC",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-889-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.