Active NPI
Tonica Johnson, MD , PLLC
- Clinic/Center
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2006-0041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tonica Johnson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- 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.
-
- Ophthalmology Physician
- Durham, NC
- NPI 1285602995
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.