Active NPI
Nia Rikhel Johnson, MD
- Family Medicine Physician
- Henderson, NC
National Provider Identifier
1700576964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026-04440
- Practice address
- 100 W Parkview Dr
Henderson, NC 27536-5923 - Phone
- (252) 438-3549
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026-04440 | NC | Primary |
Addresses
Primary practice location
100 W Parkview Dr
Henderson, NC 27536-5923
Mailing address
PO Box 640
Roanoke Rapids, NC 27870-0640
Phone (252) 536-5844
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525003004 | NC | Order and Referring Only - Family Practice | 2860858347 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL23-0359 | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- njohnson463249@directhisp.wakemed.org
- njohnson1037461@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1700576964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278700640",
"telephone_number": "252-536-5844",
"fax_number": "252-519-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W PARKVIEW DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365923",
"telephone_number": "252-438-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NIA",
"middle_name": "RIKHEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-04440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.