Active NPI
Tamara Deniece Johnson, M.D.
- Pediatrics Physician
- Inman, SC
National Provider Identifier
1760701288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32609
- Practice address
- 1220 Parkside Acorn Drive
Inman, SC 29349 - Phone
- (864) 272-0388
- Fax
- (864) 213-9237
- NPI assigned
- May 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32609 | SC | Primary |
Addresses
Primary practice location
1220 Parkside Acorn Drive
Inman, SC 29349
Mailing address
525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Affiliate Physicians | Pediatrics | Past | Accepting new patients |
| University Medical Associates | Past | Accepting new patients |
Interoperability endpoints
- tamara.johnson@myrhc.directbygreenway.com
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.
-
- Pediatric Allergy/Immunology Physician
- Charleston, SC
- NPI 1902323504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1760701288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 VERDAE BLVD STE 200",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 PARKSIDE ACORN DRIVE",
"city": "INMAN",
"state": "SC",
"postal_code": "29349",
"telephone_number": "864-272-0388",
"fax_number": "864-213-9237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAMARA",
"middle_name": "DENIECE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-24",
"last_updated": "2023-06-20",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "32609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.