Cynda Ann Johnson, MD MBA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200400689 Issued in NC

Practice address

600 Moye Blvd
Family Practice Center
Greenville, NC 27834-4300

Phone

(252) 744-4611

Fax

(252) 744-4614

NPI assigned

Sep 8, 2005

Reactivated

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1750375598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SOUTH CHARLES BLVD",
            "address_2": "GREENVILLE CENTRE ROOM 1515",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584353",
            "telephone_number": "252-328-9478",
            "fax_number": "252-328-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "address_2": "FAMILY PRACTICE CENTER",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-4611",
            "fax_number": "252-744-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MD MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-05-30",
        "deactivation_date": "2006-06-14",
        "reactivation_date": "2007-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400689",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "200400689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1375N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891375N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Fox Johnson, MD
• Caitlyn Johnson, M.S., CCC-SLP
• Calvin Johnson
• Chantell Johnson
• Christy Johnson, CRT RRTE
• Dakota Colton Johnson, MD
• Dennis Ray Johnson, MD
• Elizabeth Johnson
• Franklin Duval Johnson III
• Kevin Scott Johnson, PA-C

• Family Medicine Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.