Individual provider Active NPI

Patricia Olive Johnson, AU.D., F-AAA, ABA

  • Audiologist
  • Chapel Hill, NC
National Provider Identifier
1720426331
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10486 Issued in NC
Practice address
6015 Farrington Rd
Suite 103
Chapel Hill, NC 27517-8154
Phone
(919) 493-7980
Fax
(919) 493-7985
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10486 NC Primary

Addresses

Primary practice location

6015 Farrington Rd
Suite 103
Chapel Hill, NC 27517-8154

Mailing address

6015 Farrington Rd
Suite 103
Chapel Hill, NC 27517-8154
Phone (919) 493-7980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000099 NC Practitioner - Qualified Audiologist 5991939043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jun 1, 2013 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6015 Farrington Rd
Ste 103
Chapel Hill, NC 27517
Phone (919) 493-7980

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

Interoperability endpoints

  • Direct secure messaging: pjohnson32019@direct.unc.nchie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1720426331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 FARRINGTON RD",
            "address_2": "SUITE 103",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178154",
            "telephone_number": "919-493-7980",
            "fax_number": "919-493-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 FARRINGTON RD",
            "address_2": "SUITE 103",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178154",
            "telephone_number": "919-493-7980",
            "fax_number": "919-493-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "middle_name": "OLIVE",
        "name_prefix": "Dr.",
        "credential": "AU.D., F-AAA, ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.