Organization Active NPI

Tonica Johnson, MD , PLLC

  • Clinic/Center
  • Durham, NC
National Provider Identifier
1760901490
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2006-0041 Issued in NC
Legal business name
TONICA JOHNSON, MD , PLLC
Practice address
3811 N Roxboro St Ste a
Durham, NC 27704-5800
Phone
(919) 999-6093
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Authorized official

Name
Dr. Tonica Johnson, MDNPI 1235177114
Title
Owner
Phone
(216) 509-1814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2006-0041 NC Primary

Addresses

Primary practice location

3811 N Roxboro St Ste a
Durham, NC 27704-5800

Mailing address

3811 N Roxboro St Ste a
Durham, NC 27704-5800
Phone (919) 999-6093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107000012 NC Part B Supplier - Clinic/Group Practice 0840556973 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC; Roxboro, NC

National Provider Directory

National Provider Directory

Locations

105 E Carver St
Durham, NC 27704

3916 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 956-9300

1821 Hillandale Rd
#300
Durham, NC 27705

3702 Durham Rd
Ste B
Roxboro, NC 27573
Phone (919) 999-6093

3702 Durham Rd
Ste B
Roxboro, NC 27573
Phone (919) 999-6093

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16939/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572652800000",
    "number": "1760901490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N ROXBORO ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-999-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N ROXBORO ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277045800",
            "telephone_number": "919-999-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONICA JOHNSON, MD , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-509-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "2006-0041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.