Active NPI
James Ovel Johnson, MD
- Obstetrics Physician
- Spartanburg, SC
National Provider Identifier
1710933130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 6547
- Practice address
- 475 Heywood Ave
Spartanburg, SC 29307-1726 - Phone
- (864) 699-5020
- Fax
- (864) 699-5050
- NPI assigned
- May 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 6547 | SC | Primary |
Addresses
Primary practice location
475 Heywood Ave
Spartanburg, SC 29307-1726
Mailing address
475 Heywood Ave
Spartanburg, SC 29307-1726
Phone (864) 699-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065477 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6547 | SC | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1710933130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 HEYWOOD AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071726",
"telephone_number": "864-699-5020",
"fax_number": "864-699-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 HEYWOOD AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071726",
"telephone_number": "864-699-5020",
"fax_number": "864-699-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMES",
"middle_name": "OVEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "SC",
"license": "6547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065477",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.