Khristy George Johnson, REGISTERED NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

46396 Issued in SC

Practice address

Marion Health Department
206 Airport Road Suite B
Mullins, SC 29574

Phone

(843) 423-8295

Fax

(843) 423-7179

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1760244727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MARION HEALTH DEPARTMENT",
            "address_2": "206 AIRPORT ROAD SUITE B",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "29574",
            "telephone_number": "843-423-8295",
            "fax_number": "843-423-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARION HEALTH DEPARTMENT",
            "address_2": "206 AIRPORT ROAD SUITE B",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "29574",
            "telephone_number": "843-423-8295",
            "fax_number": "843-423-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KHRISTY",
        "middle_name": "GEORGE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "46396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Jan, MD
• Latreece Jett, RN, BSN
• John C Bilder DMD PA
• Dara Johnson, RN
• Denise Johnson
• Richard C Johnson, CRNA
• Linda J Jones, NP
• Andy Y Jun, PHARM D
• Arnell Corethia Kithcart, FNP
• Thomas Onley Klauber, MD

• Community Health Registered Nurse in Mullins, SC
• Providers in Mullins, SC by specialty
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.