Active NPI
Andrea Marie Johnson, PA
- Physician Assistant
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103798
- Practice address
- 350 N Cox St Ste 28
Asheboro, NC 27203-5514 - Phone
- (336) 629-6500
- Fax
- (336) 629-9500
- NPI assigned
- Jan 19, 2007
- Last updated
- Apr 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 103798 | NC | Primary |
Addresses
Primary practice location
350 N Cox St Ste 28
Asheboro, NC 27203-5514
Mailing address
350 N Cox St
Ste 28
Asheboro, NC 27203-5514
Phone (336) 629-6500
Other practice location 1
132 W Miller St Ste A
Asheboro, NC 27203-4775
Phone (336) 625-3248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700939220 | Medicaid | NC |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
237 N Fayetteville St
Asheboro, NC 27203-5573
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103798 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Healthcare Systems, LLC | Internal Medicine | Current | Accepting new patients |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Past | Accepting new patients | |
| Randolph Specialty Group Practice | Internal Medicine | Past | Accepting new patients |
| American Healthcare Systems, LLC | Past | Accepting new patients |
Locations
218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333
237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248
237 N Fayetteville St
Ste D
Asheboro, NC 27203
Phone (336) 625-2961
713 S Fayetteville St
Asheboro, NC 27203
Phone (336) 625-2467
514 N Broad St
Seagrove, NC 27341
Phone (336) 873-8045
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Asheboro, NC
- NPI 1194310235
-
- Internal Medicine Physician
- Asheboro, NC
- NPI 1326623216
-
dba Randolph Health Cardiology
- Cardiovascular Disease Physician
- Asheboro, NC
- NPI 1346078425
-
- Pediatrics Physician
- Asheboro, NC
- NPI 1184219222
-
- Hematology & Oncology Physician
- Asheboro, NC
- NPI 1760077804
-
dba Randolph Health Internal Medicine Dr. Douglas Schultz
- Internal Medicine Physician
- Asheboro, NC
- NPI 1740459536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheboro, NC
- NPI 1942895081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1700939220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N COX ST",
"address_2": "STE 28",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035514",
"telephone_number": "336-629-6500",
"fax_number": "336-629-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N COX ST STE 28",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035514",
"telephone_number": "336-629-6500",
"fax_number": "336-629-9500"
}
],
"practiceLocations": [
{
"address_1": "132 W Miller St Ste A",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272034775",
"country_code": "US",
"telephone_number": "336-625-3248",
"fax_number": "336-625-6629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700939220",
"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 Apr 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.